糖尿病性视网膜病变病例中弥漫性黄斑水肿的玻璃体切除术
Vitrectomy for diffuse macular edema in cases of diabetic retinopathy.
作者信息
Tachi N, Ogino N
机构信息
Department of Ophthalmology, Aichi Medical University, Japan.
出版信息
Am J Ophthalmol. 1996 Aug;122(2):258-60. doi: 10.1016/s0002-9394(14)72018-5.
PURPOSE
To ascertain the effects of posterior vitreous detachment for diffuse diabetic macular edema.
METHODS
We performed vitrectomy on 58 eyes of 41 consecutive patients with diabetic macular edema without posterior vitreous detachment. Follow-up was done at 12 months postoperatively.
RESULTS
In 57 of 58 eyes after vitrectomy and posterior vitreous detachment, macular edema resolved, and diffuse fluorescein leakage disappeared in 35 of 36 eyes examined at the 12th month. Visual improvement was statistically significant (P < .0001, paired t test).
CONCLUSION
In eyes with diffuse diabetic macular edema and without posterior vitreous detachment, vitrectomy with posterior vitreous detachment may be effective.
目的
确定玻璃体后脱离对弥漫性糖尿病性黄斑水肿的影响。
方法
我们对41例连续性糖尿病性黄斑水肿且无玻璃体后脱离患者的58只眼进行了玻璃体切除术。术后12个月进行随访。
结果
58只眼中57只眼在玻璃体切除及玻璃体后脱离后黄斑水肿消退，在第12个月检查的36只眼中35只眼弥漫性荧光素渗漏消失。视力改善具有统计学意义（P <.0001，配对t检验）。
结论
对于弥漫性糖尿病性黄斑水肿且无玻璃体后脱离的眼，行玻璃体切除联合玻璃体后脱离可能有效。
Zotero 插件