玻璃体切除联合C_3F_8填充术治疗变性近视伴黄斑孔的视网膜脱离

Vitrectomy with C_3F_8 tamponade on retinal detachment due to degenerative myopia with macular hole

目的探讨玻璃体切除联合C3F8填充术治疗变性近视伴黄斑孔的视网膜脱离的效果。方法对16例（17眼）变性近视伴黄斑孔的视网膜脱离，行玻璃体切除手术及气体（C3F8）填充，术后随访6～18个月（平均12．4月）观察术后视力、视野、OCT检查、眼底检查及并发症发生情况。结果OCT显示16眼术后黄斑孔闭合，视网膜复位，1眼复位失败。16眼视力提高，最佳矫正视力为0．5；16只复位眼中心视野均有不同程度的好转；1眼术后暂时性高眼压，药物治疗恢复正常；1眼术后眼底局部出血，1周后积血吸收，未发生其他并发症。结论玻璃体切除联合G3F8填充术治疗变性近视伴黄斑孔的视网膜脱离是安全而有效的。

Objective To investigate the efficacy of vitrecto-my with C3F8 on retinal detachment due to degenerative myopia with macular hole. Methods 16 case （ 17 eyes） due to degenerative myopia macular hole retinal detachment was treated with Vit-reoretinal surgery, filled with C3F8. We investigated the visual acuity, visual field, OCT, ocular fundus , complication and followed up from 6 to 18 months （ average 12.4 months）. Results In all patients, the visual acuity was improved and central visual field en-larged except one failed case. The best final visual acuity is 0.5. OCT shows：16 eyes attained retinal reattachment and macular hole closed. Transient ocular hypertension was found in 1 eye, which recovered 1 day after drug application. Local haemorrhage happened in 1 eye, which absorbed after 1 week. no other complications occrated, Conclusions The technique of vitrectomy with C3F8 for retinal detachment due to degenerative myopia macula hole is safe and effective.