玻璃体手术治疗玻璃体黄斑牵引综合征

Vitreous surgery for vitreomacular traction syndrome

目的:探讨玻璃体手术治疗玻璃体黄斑牵引综合征疗效。方法:手术前后经光学相干断层扫描(optical co-herence tomography, OCT)、多焦视网膜电图(multifocal electroretinography,m ERG)、荧光素眼底血管造影(funds fluorescein angiography,FFA)等检查确诊为玻璃体黄斑牵引综合征患者12例12眼。采用标准三切口玻璃体切除手术。切除已脱离玻璃体后皮质,松解玻璃体视网膜牵引。结果:黄斑部牵引解除12眼,视力提高2行以上9眼。手术后未见明显并发症。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。

AIM: To evaluate the effect of vitreous surgery for vitreomacular traction syndrome (VTS).· METHODS: Twelve patients (12 eyes) were diagnosed as VTS through optical coherence tomography, multifocal electroretinogram (mERG) and fundus fluorescein angiogrophy. All the eyes underwent standard three-port vitrectomy to remove cortex posterior to vitreous and to relax macular traction.· RESULTS: Macular traction was relieved in 12 eyes; visual acuity improved by 2 lines or more in 9 eyes (75%). No obvious complications were found during and after the surgery.· CONCLUSION: Vitreous surgery is effective for VIS.·