玻璃体黄斑牵引综合征的手术治疗

Surgical treatment of vitreomacular traction syndrome

目的 :探讨玻璃体手术治疗黄斑牵引综合征的方法、疗效。方法 :经裂隙灯前置镜、接触镜 ,荧光素眼底血管造影或光学相干断层成像术确诊的玻璃体黄斑牵引综合征共 16例 (16只眼 ) ,采用标准三切口玻璃体切除术切除患眼玻璃体后皮质 ,解除玻璃体视网膜牵引。结果 :16例患眼黄斑区牵引全部解除 ,经 3～ 15个月随访无复发 ;所有视力都有提高 ,术中术后未发现明显并发症。结论 :玻璃体手术是治疗玻璃体黄斑牵引综合征的有效方法。

Objective:To explore the approach and effectiveness of treating vitreomacular traction syndrome (VTS) with vitreous surgery. Methods:Sixteen patients (16 eyes) were diagnosed as VTS through slit lamp biomicroscope combining with presetting lens,three mirror lens,fundus fluorescein angiogrophy or optical coherence tomography.All the eyes underwent standard three ports vitrectomy to remove posterior vitreous cortex and relax macular traction. Results:The traction of all the eyes was relaxed and it did not recur during the follow up of three to fifteen months.The visual acuity of all the eyes improved.No obvious complications were found during and after the surgery. Conclusions:Vitreous surgery is effective to treat VTS.