玻璃体黄斑牵引综合征的临床诊疗观察

Observation on diagnosis and therapy of vitreomacular traction syndrome

目的:观察分析玻璃体黄斑牵引综合征的临床特点及治疗效果。方法:对2005-06/2007-02在我院行玻璃体切除术治疗的9例9眼玻璃体黄斑牵引综合征的患者的临床资料进行回顾性分析。结果:9例患者术后7例视力改善;2例患者视力无改善,无视力下降者。光学相干断层扫描(OCT)示术后7d黄斑水肿减轻;术后1mo黄斑水肿明显减轻;术后3mo黄斑水肿完全能消退,黄斑形态恢复正常;术后6mo时,有2例OCT示有黄斑前膜发生,但视力较术前无下降,所有病例均无手术并发症发生。结论:玻璃体切除术治疗玻璃体黄斑牵引综合征疗效显著,OCT在本病的诊断治疗中有重要的指导意义。

AIM： To evaluate the clincal diagnosis and the efficacy of therapy on vitreomacular traction sydrome. METHODS： Nine patients（9 eyes） who underwent vitrectomy for vitreomacular traction syndrome during June 2005 and February 2007 were retrospectively analyzed. RESULTS： Vitreomacular traction of 9 patients was released successfully after vitrectomy a better visual acuity was obtained in 7 eyes; visual acuity of 2 eyes didn＇t improve; optical coherence tomography （OCT） showed macular edema gradually alleviated in 1 week,1 month, 3 months after vitreous surgery. OCT showed 2 eyes appeared macular epiretinal membranes the sixth month after vitreous surgery, but their visual acuity was not worse than that before surgury. All eyes didn＇t bechance complication of vitreous surgery. CONCLUSION： Vitrectomy can relieve macu/ar traction, improve visual acuity and prevent a further decrease of visual acuity; OCT has particular value on diagnosis of vitreomacular traction syndrome.