玻璃体内注射全氟丙烷治疗玻璃体黄斑牵引

Treatment of Vitreomacular Traction with Intravitreal Injection of Perfluoropropane.

作者信息

Veith M, Penčák M, Ernest A, Straňák Z

出版信息

Cesk Slov Oftalmol. 2019 Winter;75(4):182-187. doi: 10.31348/2019/4/2.

DOI:10.31348/2019/4/2

PMID:32397720

Abstract

PURPOSE

To evaluate the effect of one intravitreal injection of expansile gas in the treatment of vitreomacular traction (VMT).

METHODS

A retrospective review of eyes with VMT treated with singl injection of 0,3 ml of 100% C3F8 gas was performed. The procedure was performed on an outpatient basis under topical anesthesia.

RESULTS

Twelve consecutive patient (14 eyes) with symptomatic VMT underwent pneumatic vitreolysis. Mean extend of vitreomacular adhesion was 490,5 µm (408-751). A posterior vitreous detachment developed in 13 eyes (92,9 %) after a single gas injection, in 11 eyes (84,6 %) during the first month of follow-up, in 2 eyes within two month of injection. Mean baseline and last BCVA were 0,5 (0,16-0,18) and 0,67 (0,2-1,0) respectively (p.

摘要

目的

评估单次玻璃体内注射膨胀性气体治疗玻璃体黄斑牵引（VMT）的效果。

方法

对接受单次注射0.3 ml 100% C3F8气体治疗的VMT患者的眼部进行回顾性研究。该手术在局部麻醉下门诊进行。

结果

12例连续的有症状VMT患者（14只眼）接受了气体性玻璃体溶解术。玻璃体黄斑粘连的平均范围为490.5 µm（408 - 751）。单次气体注射后13只眼（92.9%）发生了玻璃体后脱离，随访第一个月内11只眼（84.6%）发生，注射后两个月内2只眼发生。平均基线和末次最佳矫正视力分别为0.5（0.16 - 0.18）和0.67（从0.2至1.0）（p.