摘要
目的:评价晶状体超声乳化联合玻璃体切除及眼内空气填充术治疗伴有视网膜裂孔和局限性视网膜脱离的增生性糖尿病性视网膜病变的效果。方法:回顾性分析研究。收集2015年4月至2019年10月郑州市第二人民医院伴有视网膜裂孔和局限性视网膜脱离的增生性糖尿病性视网膜病变63例(63眼)的临床资料。患者分为两组:眼前后段联合手术者定为观察组,31例(31眼);未联合白内障手术者定为对照组,32例(32眼)。术后随访6个月。结果:观察组术后1周和6个月视力(logMAR BCVA)为0.83±0.23和0.62±0.35,视力提高者28眼(90.3%),均高于对照组的1.13±0.14和0.84±0.35(t=-4.260,-3.230;P<0.05,0.003),视网膜完全复位者观察组28眼(90.3%),对照组28眼(87.5%)。两组视网膜复位率差异无统计学意义(χ^2=0.127,P=0.722)。结论:白内障手术联合玻璃体切除及空气填充术治疗伴有视网膜裂孔和局限性视网膜脱离的增生性糖尿病性视网膜病变能显著提高视力,减少手术次数。
Objective To evaluate the efficacy of vitrectomy combined with phacoemulsification and intraocular air tamponade in the treatment of proliferative diabetic retinopathy with retinal tear and localized detachment.Methods This was a retrospective study.The clinical data of 63 eyes of 63 cases of proliferative diabetic retinopathy with retinal tear and localized detachment from Apr.2015 to Oct.2019 in Zhengzhou Second People’s Hospital were collected.All cases were divided into two groups.The observation group,31 eyes of 31 cases,received anterior and posterior segment combined surgery.The control group,32 eyes of 32 cases,received simple vitrectomy.The follow-up time was 6 months.Results BCVA(logMAR)of the observation group at 1 week and 6 months after surgery were 0.83±0.23 and 0.62±0.35,and BCVA was ameliorated in 28 eyes(90.3%).The differences in BCVA at 1 week and 6 months after surgery were statistically significant between the two groups(t=-4.260,-3.230;P<0.05,0.003).Total retinal reattachment in the observation group occurred in 28 eyes(90.3%)and 28 eyes(87.5%)in control group.There was no significant difference between the two groups(χ^2=0.127,P=0.722).Conclusion Vitrectomy combined cataract surgery and air tamponade for the treatment of proliferative diabetic retinopathy with retinal tear and localized detachment can significantly improve vision and reduce the times of operations.
作者
孔晓路
田野
高雪霞
王瑞峰
Kong Xiaolu;Tian Ye;Gao Xuexia;Wang Ruifeng(Department of Ophthalmology,Zhengzhou Municipal Second People’s Hospital,Zhengzhou Municipal Eye Hospital,Zhengzhou 450052,China)
出处
《中华眼外伤职业眼病杂志》
2020年第11期841-846,共6页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
河南省医学科技攻关计划联合共建项目(LHGJ20191013)。
