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[手术治疗对玻璃体黄斑牵引综合征的疗效分析]

[Analysis of the effect of surgical management on vitreomacular traction syndrome].

作者信息

Jiang Yan-rong, Ma Yu, Li Xiao-xin

机构信息

Ophthalmic Center, People's Hospital, Peking University, Beijing 100044, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2004 Oct;40(10):670-3.

PMID:16200856
Abstract

OBJECTIVE

To evaluate the efficacy of vitreous surgery for the patients with vitreomacular traction syndrome.

METHODS

The 16 consecutive patients (16 eyes) who underwent vitrectomy for vitreomacular traction syndrome during July 1998 and January 2002 were retrospectively analyzed.

RESULTS

Vitreomacular traction was released successfully after vitrectomy, a better visual acuity was obtained in 10 eyes, the number of patients whose visual acuity was below 0.1 was increased from 6 to 8. In 5 cases with the visual acuity was 0.02 or worse before surgery, however their visual acuity was improved in some degree. Complications of vitreous surgery included iatrogenic macular hole (2 eyes), postoperative cataract in (1 eye), partial-thickness macular hole (1 eye), and macular pucker (1 eye), both of last two complications was demonstrated three months later.

CONCLUSION

Pars plana vitrectomy can relieve macular traction, improve visual acuity and prevent a further decease of visual acuity.

摘要

目的

评估玻璃体手术治疗玻璃体黄斑牵拉综合征患者的疗效。

方法

回顾性分析1998年7月至2002年1月期间因玻璃体黄斑牵拉综合征接受玻璃体切除术的16例连续患者(16只眼)。

结果

玻璃体切除术后成功解除了玻璃体黄斑牵拉,10只眼视力提高,视力低于0.1的患者人数从6例增加到8例。术前视力为0.02或更差的5例患者,术后视力有不同程度提高。玻璃体手术并发症包括医源性黄斑裂孔(2只眼)、术后白内障(1只眼)、黄斑部分厚度裂孔(1只眼)和黄斑皱褶(1只眼),后两种并发症均在术后3个月出现。

结论

玻璃体切除术可缓解黄斑牵拉,提高视力并防止视力进一步下降。

相似文献

1
[Analysis of the effect of surgical management on vitreomacular traction syndrome].[手术治疗对玻璃体黄斑牵引综合征的疗效分析]
Zhonghua Yan Ke Za Zhi. 2004 Oct;40(10):670-3.
2
[Diseases of the vitreo-macular interface].[玻璃体黄斑界面疾病]
Klin Monbl Augenheilkd. 1999 May;214(5):305-10. doi: 10.1055/s-2008-1034801.
3
[Vitrectomy for vitreomacular traction syndrome].[玻璃体黄斑牵引综合征的玻璃体切除术]
Arch Soc Esp Oftalmol. 2001 Jan;76(1):37-41.
4
[Results of surgery of vitreomacular traction syndromes].[玻璃体黄斑牵引综合征的手术结果]
J Fr Ophtalmol. 1997;20(7):539-47.
5
[Idiopathic vitreomacular traction syndrome. Vitrectomy results].[特发性玻璃体黄斑牵拉综合征。玻璃体切除术结果]
J Fr Ophtalmol. 2001 May;24(5):496-504.
6
[Vitrectomy for vitreo-macular traction syndrome].[玻璃体黄斑牵引综合征的玻璃体切除术]
Klin Monbl Augenheilkd. 2003 Mar;220(3):122-6. doi: 10.1055/s-2003-38191.
7
Tomographic features and surgical outcomes of vitreomacular traction syndrome.玻璃体黄斑牵引综合征的断层扫描特征及手术结果
Am J Ophthalmol. 2005 Jan;139(1):112-7. doi: 10.1016/j.ajo.2004.08.055.
8
Vitreomacular traction syndrome: impact of anatomical configuration on anatomical and visual outcomes.玻璃体黄斑牵拉综合征:解剖结构对解剖和视觉预后的影响。
Retina. 2008 Oct;28(9):1207-14. doi: 10.1097/IAE.0b013e31817b6b0f.
9
Pars plana vitrectomy for vitreomacular traction syndrome.玻璃体黄斑牵引综合征的玻璃体切除术
Coll Antropol. 2013 Apr;37 Suppl 1:271-3.
10
[25G transconjunctival vitrectomy for epiretinal membranes and vitreo-macular traction syndromes: results after 6 months].[25G经结膜玻璃体切除术治疗视网膜前膜和玻璃体黄斑牵引综合征:6个月后的结果]
Bull Soc Belge Ophtalmol. 2006(299):77-81.

引用本文的文献

1
Macular hole formation and spontaneous closure after vitrectomy for vitreomacular traction documented in spectral-domain optical coherence tomography.经谱域光学相干断层扫描证实,玻璃体切割术后黄斑裂孔形成和自发闭合与玻璃体黄斑牵引有关。
BMC Ophthalmol. 2014 Feb 19;14:17. doi: 10.1186/1471-2415-14-17.