增殖性糖尿病视网膜病变的玻璃体切除手术治疗.docVIP

增殖性糖尿病视网膜病变的玻璃体切除手术治疗 　　[摘要] 目的 探讨增殖性糖尿病视网膜病变的玻璃体切除手术的疗效。 方法 选取2012年1月～2014年1月，我院应用玻璃体切除手术治疗增殖性糖尿病视网膜病变患者20例（26眼）。术后随诊1年，观察患者的视力、眼压、晶状体、玻璃体腔、视网膜及填充物情况并处理并发症。 结果 术后随访6个月视力提高率达73.1%，其中IV期14眼，V期3眼，VI期2眼。术后随访1年视力提高率达100.0%，无一例出现视力下降。术后1年的视力提高率显著高于术后6个月视力提高率，差异有统计学意义（P0.05）。26眼术后的视力较术前显著改善，差异有统计学意义（P0.05）。 结论 玻璃体切除手术治疗增殖性糖尿病视网膜病变可以显著提高患者视力，并发症少，值得推广和应用。 　　[关键词] 玻璃体切除手术；增殖性糖尿病视网膜病变；视力；并发症 　　[中图分类号] R779.6 [文献标识码] B [文章编号] 2095-0616（2015）14-195-03 　　Vitrectomy for proliferative vitreoretinopathy 　　LAI Jiangfeng 　　Department of Ophthalmology， Meizhou Peoples Hospital， Meizhou 514031， China 　　[Abstract] Objective To explore the curative effect of vitrectomy for proliferative vitreoretinopathy. Methods 20 patients （26 eyes） who were received vitrectomy for proliferative vitreoretinopathy from January 2012 to January 2014 in our hospital were seleted. In the one-year postoperative follow-up， visual acuity， intraocular pressure， lens， vitreous cavity， retinal and the filling condition of patients were compared and complications were treated. Results In the postoperative follow-up， the improving rate of vision acuity 6 months after the treatment was 73.1%， including 14 eyes in stage IV， 3 eyes in stage V and 2 eyes in stage VI. In the postoperative follow-up， the improving rate of vision acuity 1 year after the treatment was 100.0% and no patient was with hypopsia. The improving rate of vision acuity 1 year after the treatment was significantly higher than which was 6 months after the treatment and the difference was statistically significant （P0.05）. Postoperative visual acuity of 26 eyes were significantly improved after the treatment and the difference has a statistical significance （P0.05）. Conclusion Vitrectomy for proliferative vitreoretinopathy can significantly improve visual acuity and it has few complications， which is worth promotion and application. 　　[Key words] Vitrectomy； Proliferative vitreoretinopathy； Visual acuity； Complications 　　近年来，随着人们生活水平的提高，