玻璃体切割联合黄斑部内界膜撕除治疗糖尿病性黄斑水肿

Vitrectomy Combined with Macular Internal Limiting Membrane Peeling for Diabetic Macular Edema

目的观察玻璃体切割联合黄斑部内界膜撕除治疗糖尿病性黄斑水肿(ME)的疗效。方法选择增殖期糖尿病性视网膜病变(PDR)合并ME患者40例42眼,所有患者接受玻璃体切割联合黄斑部内界膜撕除术,观察术后1、3、6个月的视力、眼底荧光血管造影、光学相干断层扫描等资料以及手术并发症,术后随访6个月以上。结果本组40例(42只眼)均未发生手术并发症,视力提高31只眼,视力不变8只眼,下降3只眼。结论严重PDR伴黄斑水肿患者行璃体切割联合黄斑部内界膜撕除,有利于改善黄斑水肿,提高患者视力。

Objective To evaluate the curative effects of vitrectomy combined with macular internal limiting membrane peeling on diabetic macular edema.Methods Forty patients（42 eyes） diagnosed with proliferative diabetic retinopathy（PDR） with macular edema.All patients underwent vitrectomy combined with macular internal limiting membrane peeling.The data of visual acuity,FFA and OCT,and the complications were observed after 1,3,and 6 months after surgery.All patients were followed up for at least 6 months.Results Of the 42 eyes,visual acuity increased in 31,did not changed in 8,and decreased in 3.No complications occurred in the patients.Conclusion Vitrectomy combined with macular internal limiting membrane peeling is beneficial to ameliorating the macular edema and improving vision in patients with diabetic macular edema.