摘要
目的 观察2.2 mm微切口晶状体超声乳化联合23 G微创玻璃体视网膜手术治疗高度近视黄斑孔视网膜脱离临床疗效.方法 回顾性分析2012年1月至2013年6月高度近视黄斑孔视网膜脱离53例（55只眼）,行2.2 mm微切口晶状体超声乳化联合23 G微创玻璃体视网膜手术的临床资料.术后随访眼压、最佳矫正视力、黄斑孔的闭合情况及视网膜复位情况.结果 术后早期出现高眼压18只眼（32.73％）,14只眼经药物控制,2只眼取硅油后控制,2只眼行小梁切除术控制;术后最佳矫正视力提高者53只眼（96.36％）,无变化2只眼（3.64％）,术前术后视力差异有统计学意义;黄斑孔闭合52只眼（94.55％）,视网膜复位53只眼（96.36％）.结论 2.2 mm微切口晶状体超声乳化联合23G微创玻璃体视网膜手术是治疗高度近视黄斑孔视网膜脱离的有效方法.
Objective To observe the therapeutic effect of combined surgery of 2.2 mm microincision phacoemulsification and 23-gauge transconjunctival sutureless vitrectomy for macular hole retinal detachment in high myopia.Methods A retrospective case series study.Fifty-five eyes of 53 patients with macular hole retinal detachment （MHRD） in high myopia underwent 2.2 mm microincision phacoemulsification combined with 23-gauge vitreoretinal surgery.Postoperatively,the intraocular pressure,best-corrected visual acuity （BCVA）,the rate of macular hole closure and retinal reattachment were observed.Results High intraocular pressure （IOP） after surgery were found in 18 eyes accounting for 32.73%.IOP was controlled with drug in 14 eyes,and after silicone oil removal in 2 eyes,and were controlled by trabeculectomy in 2 eyes.BCVA improved in 53 eyes and remained unchanged in 2 eyes.The difference between preoperative and postoperative BCVA was statistically significant（x2 =39.65,P =0.00）.The rates of macular hole closure and retina reattachment were 94.55% and 96.36% respectively.Conclusion Combined mini-invasive surgery of anterior and posterior segment is effective on macular hole retinal detachment in high myopia.
出处
《中华眼外伤职业眼病杂志》
2015年第3期172-175,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
上海市浦东新区卫生局卫生（计生）科技项目（PW2013B-3）
