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全国性、前瞻性、随机玻璃体切除术治疗慢性无晶状体眼黄斑囊样水肿研究。进展报告及对照组与非随机组比较

The national, prospective, randomized vitrectomy study for chronic aphakic cystoid macular edema. Progress report and comparison between the control and nonrandomized groups.

作者信息

Fung W E

出版信息

Surv Ophthalmol. 1984 May;28 Suppl:569-75. doi: 10.1016/0039-6257(84)90240-6.

DOI:10.1016/0039-6257(84)90240-6
PMID:6463852
Abstract

Three years ago, a prospective, randomized, collaborative study investigating the effectiveness of vitrectomy for chronic aphakic cystoid macular edema in eyes with vitreous adherent to the cataract wound but without an intraocular lens was started. To date, the study consists of 130 eyes which have been assigned to three different groups. Without disturbing the data related to the question of the effectiveness of surgery, an analysis of patient histories and eye findings reveal interesting facts. The time between cataract surgery and onset of visual decrease was three months. Most of the eyes have a detached posterior vitreous face, and only 4% had evidence of vitreous traction on the macula. All eyes demonstrated some degree of flare and cells in the aqueous or vitreous, and the presence of systemic vascular disease in the patient does not seem to determine the eye's long term visual performance.

摘要

三年前,一项前瞻性、随机、协作性研究启动,该研究旨在调查玻璃体粘连于白内障伤口但无人工晶状体的眼中,玻璃体切除术治疗慢性无晶状体性黄斑囊样水肿的有效性。迄今为止,该研究包括130只眼睛,已被分为三个不同的组。在不干扰与手术有效性问题相关数据的情况下,对患者病史和眼部检查结果的分析揭示了一些有趣的事实。白内障手术与视力下降开始之间的时间为三个月。大多数眼睛有玻璃体后脱离,只有4%有黄斑玻璃体牵拉的证据。所有眼睛在房水或玻璃体中均表现出一定程度的闪光和细胞,并且患者全身血管疾病的存在似乎并不决定眼睛的长期视力表现。

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The national, prospective, randomized vitrectomy study for chronic aphakic cystoid macular edema. Progress report and comparison between the control and nonrandomized groups.全国性、前瞻性、随机玻璃体切除术治疗慢性无晶状体眼黄斑囊样水肿研究。进展报告及对照组与非随机组比较
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Graefes Arch Clin Exp Ophthalmol. 2016 Jan;254(1):43-51. doi: 10.1007/s00417-015-3000-8. Epub 2015 Apr 12.
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The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery.
白内障手术后黄斑囊样水肿的发病率、发病机制及治疗
Trans Am Ophthalmol Soc. 1998;96:557-634.