摘要
目的探讨23G、25G联合经结膜免缝合微创玻璃体切割术(transconjunctival sutureless vitrectomy,TSV)治疗黄斑前膜疗效。方法收集我院22眼应用23G、25G联合TSV治疗黄斑前膜的手术资料。对手术前后最佳矫正视力、光学相干断层扫描(optical coherence tomography,OCT)检查黄斑前膜进行对比分析。术后随访2～9个月,观察对比手术前后视力和OCT检查的黄斑中心凹厚度。结果所有手术均顺利完成,术后视力均明显提高,末次随访最佳矫正视力好于术前矫正视力,差异有统计学意义(P<0.05),其中术后视力提高0.15～0.2者6眼,提高0.1者12眼,提高0.05～0.1者4眼。末次随访时OCT显示术后黄斑中心凹厚度明显低于术前,差异有统计学意义(P<0.05)。结论 23G、25G联合TSV治疗黄斑前膜安全、有效。
Objective To evaluate the effect of 23-gauge and 25-gauge micro-invasive transconjunctival sutureless vitrectomy on epiretinal membrane.Methods Twenty-two eyes of epiretinal membrane surgery information underwent 23G and 25G transconjunctival sutureless vitrectomy were collected.The best corrected visual acuity and epiretinal membrane examined by optical coherence tomography（OCT） were analyzed before and after the surgery.The follow-up time was from 2 months to 9 months,and the preoperative and postoperative visual acuity and macular fovea thickness were observed.Results All procedures were uneventful.The postoperative visual acuity in all patients was improved and the postoperative best corrected visual acuity at the last follow-up time was better than pre-operation,there was statistical difference（P0.05）,in which the visual acuity improved from 0.15 to 0.2 in 6 eyes,0.1 in 12 eyes and from 0.05 to 0.1 in 4 eyes,OCT at the last follow-up time showed the postoperative macular fovea thickness was significantly lower than pre-operation,the difference was statistically significant（P0.05）.Conclusion Combined with 23G and 25G transconjunctival sutureless micro-invasive vitrectomy is safe and effective in treating the epiretinal membrane.
出处
《眼科新进展》
CAS
北大核心
2012年第3期253-256,共4页
Recent Advances in Ophthalmology
