摘要
目的 探讨高度近视眼黄斑裂孔性视网膜脱离手术治疗的临床疗效。 方法 回顾分析 14 9例高度近视眼黄斑裂孔性视网膜脱离患者的临床资料 ,将其是否伴有玻璃体后脱离 (posterior vitreousdetachment,PVD)分两组比较手术方式及视网膜解剖复位率和视力变化。 结果 视网膜解剖复位 :两组用玻璃体手术治疗的复位率为 77.9% ,非玻璃体手术为 2 5 .9% (P<0 .0 0 1) ;不完全 PVD组用玻璃体手术治疗复位率为 75 .5 % ,非玻璃体手术治疗为 15 .0 % (P<0 .0 0 1) ;用非玻璃体手术治疗完全 PVD组复位率为 5 7.1% ,不完全 PVD组为 15 .0 % (P=0 .0 5 )。视力进步 :完全 PVD组为 6 8.6 % ,不完全 PVD组为5 7.0 % (P>0 .0 5 )。 结论 高度近视眼黄斑裂孔性视网膜脱离应用巩膜外手术联合玻璃体切割、眼内气体填充和手术后激光光凝封闭黄斑裂孔可提高视网膜复位率。
Objective To observe the clinical effects of surgical treatment of retinal detachment(RD) caused by macular hole(MH) in high myopia. Methods The clinical materials of 149 eyes of 149 high myopia patients with RD caused by MH were reviewed. The cases were divided into complete posterior vitreous detachment (PVD) group and incomplete PVD group. The anatomic successful rate of operative treatment was evaluated according to the applications of vitrectomy surgery and non vitrectomy surgery respectively in each group. The visual acuity changes after the operations were also observed. Results The anatomic successful rates were as follow: 77.9% in total cases with vitrectomy surgery and 25.9% with non vitrectomy surgery ( P< 0.001); 75.5% in cases of incomplete PVD with vitrectomy surgery,and 15.0% with non vitrectomy surgery ( P< 0.001); and in non vitrectomy cases, 57.1% in complete PVD group and 15.0% in incomplete PVD group ( P =0.05). The rates of visual improvement were 68.6% in complete PVD group and 57.0% in incomplete group ( P> 0.05). Conclusions The scleral buckling combined with vitrectomy, gas intraocular tamponade and postoperative photocoagulation is an effective and optimal procedure for RD caused by MH in high myopia.
出处
《中华眼底病杂志》
CAS
CSCD
2003年第1期8-10,共3页
Chinese Journal of Ocular Fundus Diseases
