超大范围内界膜剥除术治疗糖尿病视网膜病变伴黄斑孔的效果

Efficacy of ultra wide internal limiting membrane peeling in the treatment of diabetic retinopathy with macular hole

目的评价微创玻璃体切除术联合超大范围内界膜剥除术治疗糖尿病视网膜病变伴发黄斑孔的临床效果。方法回顾性分析2013年6月至2017年5月糖尿病视网膜病变伴黄斑孔7例（7眼）的临床资料。均行微创玻璃体切除术，术前和术中确诊的5例（5眼）联合一期超大范围内界膜剥除术，术后确诊的2例（2眼）二期行超大范围内界膜剥除术。随访3～6个月，最长24个月。结果视网膜复位率100％，黄斑孔闭合率100％。术后视力均提高。结论微创玻璃体切除术联合超大范围内界膜剥除术治疗糖尿病视网膜病变伴黄斑孑L疗效良好。

Objective To evaluate the efficacy of minimally invasive vitrectomy combined with ultra wide internal limiting membrane peeling in the treatment of diabetic retinopathy with maeular hole. Methods Clinical data of 7 eyes of 7 patients with diabetic retinopathy with macular hole from Jun. 2013 to May 2017 were anzlyzed retrospectively. All patients underwent minimally invasive vitrectomy, 5 eyes of 5 cases were diagnosed preoperatively and intraoperatively, and received primary surgery combined with ultra wide internal limiting membrane peeling. Two eyes of 2 cases were diagnosed after surgery, and they underwent ultra wide internal limiting membrane peeling at the second stage. The patients were followed up for 3-6 months, the longest 24 months. Results The retinal reattaehment rate was 100% and the macular hole closure rate was 100%. Postoperative visual acuity were improved. Conclusion Minimally invasive vitreetomy combined with ultra wide internal limiting membrane peeling for the treatment of diabetic retinopathy with maeular hole is effective.