山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (5): 108-110.

• 论文 • 上一篇    

内界膜剥除治疗高度近视黄斑劈裂的疗效分析

蔡克波   

  1. 上海交通大学医学院附属新华医院眼科,上海  200092
  • 收稿日期:2011-07-21 修回日期:2011-08-28 出版日期:2011-10-16 发布日期:2011-10-16
  • 作者简介:蔡克波(1973- ),男,硕士,副主任医师,主要从事眼底病的临床与研究工作。

Internal limiting membrane peeling for treatment of foveoschisis in high myopia

CAI Ke-bo   

  1. Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200092, China
  • Received:2011-07-21 Revised:2011-08-28 Online:2011-10-16 Published:2011-10-16

摘要:

目的   探讨和评价内界膜剥除治疗高度近视黄斑劈裂的疗效和安全性。方法   将2008年3月至2010年10月25例(25眼)高度近视黄斑劈裂患者随机分为治疗组和对照组,治疗组(14眼)给予玻璃体切除联合内界膜剥除,对照组(11眼)给予玻璃体切除但未联合内界膜剥除,术后3个月观察视网膜复位率、视物变形改善率和视力提高率。结果   治疗组视网膜复位率、视物变形改善率高于对照组(P<0.05)。治疗组术后视力提高率21.43%,对照组18.18%,两组差异无统计学意义。结论   内界膜剥除是治疗高度近视黄斑劈裂的有效手段,可明显提高视网膜复位率,改善视物变形,对术后视力无显著影响。

关键词: 内界膜剥除;黄斑劈裂;玻璃体切除术

Abstract:

Objective   To evaluate the efficacy and safety of internal limiting membrane(ILM) for treatment of foveoschisis in high myopia. Methods   25 high-myopia patients (25 eyes) with foveoschisis from March 2008 to October 2010 were divided two groups: the treatment group (14 eyes) were treated with vitrectomy combined with ILM peeling, and the control group (11 eyes) were treated only with vitrectomy.The best spectacle-correction, foveoschisis reattachment and dysmorphopsia were measured preoperatively and 3 months after surgery. Results   The improvement of foveoschisis reattachment and dysmorphopsia in the treatment group was significantly better than those in the control group(P<0.05).There was no significant difference in the improvement of visual acuity between the two groups(P>0.05). Conclusion   The vitrectomy with ILM peeling is more effective for treatment of foveoschisis in high myopia. It can improve foveoschisis reattachment and dysmorphopsia, but it can not significantly improve visual outcomes.

Key words: Internal limiting membrane peeling; Foveoschisis; Vitrectomy

中图分类号: 

  • R774.5
[1] 樊旭,关娟,赵慧英,王倩,盛豫. 先天性黄斑缺损1例[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 93-94.
[2] 赵强 综述,魏伟 审校 . 眼底自发荧光与多焦视网膜电图在干性老年黄斑变性诊断中的应用[J]. 山东大学耳鼻喉眼学报, 2011, 25(6): 80-82.
[3] 杨丽敏. 曲安奈德离子导入治疗视网膜黄斑水肿的临床观察[J]. 山东大学耳鼻喉眼学报, 2009, 23(5): 71-72.
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