摘要
目的:探讨小切口玻璃体切割术治疗特发性黄斑裂孔的手术效果。方法:7例(7眼)经眼底及OCT检查确诊为特发性黄斑裂孔,施行25G经结膜穿刺法玻璃体切割术,剥离视网膜前膜,眼内惰性气体填充,观察术后视力及裂孔封闭情况。结果:7例(7眼)黄斑裂孔均解剖复位,2眼视力无改善,5眼视力提高1～4行,随访1～6mo无裂孔复发者。结论:玻璃体切割术是治疗特发性黄斑裂孔的有效方法,经结膜小切口法较传统玻璃体切割术有明显的优势。
AIM: To evaluate the therapeutic effect of 25-gauge transconjunctival suturel ess vitrectomy system (TSV) in treating idiopathic macular hole (IMH). · METHODS: Seven eyes of 7 patients with idiopathic macular hole underwent 25-g auge TSV combined with surgical removal of epiretinal membranes overlying the ho le, and SF6 intraocular tamponades. Postoperative visual acuity and infusion rat e were observed for 1-6mo. · RESULTS: IMH were completely closed in all 7 eyes. Five cases got postoperati ve vision improvement by 1-4 lines and two cases had no vision improvement. No e ye was observed reopening macular hole after initially successful repair during the follow-up of 1-6mo. · CONCLUSION: 25-gauge transconjunctival sutureless vitrectomy is an effective treatment for IMH and seems to be practical and safe for a variety of vitreoreti nal procedures compared to the conventional vitrectomy. ·
出处
《国际眼科杂志》
CAS
2004年第6期1052-1054,共3页
International Eye Science
