摘要
目的分析孔源性视网膜脱离伴发糖尿病性视网膜病变患者的临床特点及治疗方法。方法对2011年6月至2016年5月孔源性视网膜脱离伴发糖尿病性视网膜病变12例（12眼）进行回顾性分析。结果全部病例均行玻璃体切除、视网膜复位、广泛视网膜激光光凝及硅油填充术，术后局部抗生素、糖皮质激素、散瞳滴眼液应用联合中药口服。术后2周-2个月行双眼FFA检查，明确术眼糖尿病性视网膜病变分期。其中增生性糖尿病性视网膜病变和重度非增生性糖尿病性视网膜病变7例，补充完成广泛视网膜光凝。12例均于3个月后行硅油取出术，继续随访3个月以上，视力均有不同程度提高，视网膜均在位。结论孔源性视网膜脱离伴糖尿病性视网膜病变首先处理孔源性视网膜脱离，术后及时行FFA，在其指导下进行广泛视网膜激光光凝。
Objective To analyze the clinical characteristics and treatment methods of rhegmatogenous retinal detachment（RRD） accompanined with diabetic retinopathy（DR）. Methods The data of 12 eyes of 12 cases with RRD accompanined with DR from Jun. 2011 to May 2016 were collected and analyzed retrospectively. Results All cases were treated with pars plana vitrectomy （PPV）, panretinal photocoagulation（PRP） and silicone oil tamponde. Topical antibiotics, glucocorticoid, mydriatic eye drops and Chinese medicine oral were applied after surgey. FFA examination was performed at 2 weeks- 2 months after opration for pointing out clearly diabetic retinopathy staging. The proliferative diabetic retinopathy and severe non-proliferative diabetic retinopathy were treated by PRP in 7 cases. All cases underwent silicone oil removal 3 months after surgery, then followed up for more than 3 months. The visual acuity was improved and the retinal was reattached. Conclusion Rhegmatogenous retinal detachment accompanined with diabetic retinopathy is treated with PPV firstly. PRP and FFA after opration are necessary.
出处
《中华眼外伤职业眼病杂志》
2018年第1期63-67,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
