[玻璃体黄斑牵引综合征的玻璃体切除术]
[Vitrectomy for vitreomacular traction syndrome].
作者信息
Suárez Leoz M, Vidal Fernández P, Baeza Autillo A, Aparicio Hernández-Lastras M J, Teijeiro Permuy M A, Cobo Soriano C
机构信息
Sección de Vítreo-retina, Departamento de Oftalmología, I. Oftálmico-H.G.U. Gregorio Marañón, Madrid, España.
出版信息
Arch Soc Esp Oftalmol. 2001 Jan;76(1):37-41.
PURPOSE
To describe the clinical characteristics of the vitreomacular traction syndrome and to evaluate the results of vitreous surgery for this syndrome.
METHODS
We retrospectively studied 5 consecutive symptomatic eyes with vitreomacular traction syndrome, which underwent vitrectomy and posterior hyaloid stripping.
RESULTS
Intraoperative observation confirmed partial posterior vitreous separation. After surgery visual acuity improved in four eyes and remained in one eye. All eyes were followed for at least 3 months. Complications of vitreous surgery included progression of nuclear sclerosis (3 eyes) and retinal rupture (1 eye).
CONCLUSION
Vitreomacular traction syndrome can produce visual deficit. Vitrectomy surgery to release macular traction allows resolution of macular cystoid changes and improvement of visual acuity.
目的
描述玻璃体黄斑牵引综合征的临床特征，并评估针对该综合征的玻璃体手术效果。
方法
我们回顾性研究了5例连续的有症状的玻璃体黄斑牵引综合征患眼，这些患眼均接受了玻璃体切除术及后玻璃体后皮质剥除术。
结果
术中观察证实存在部分玻璃体后脱离。术后4只眼视力提高，1只眼视力保持不变。所有患眼均随访至少3个月。玻璃体手术的并发症包括核性硬化进展（3只眼）和视网膜破裂（1只眼）。
结论
玻璃体黄斑牵引综合征可导致视力缺陷。通过玻璃体切除术解除黄斑牵引可使黄斑囊样改变消退并提高视力。
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