玻璃体切除联合黄斑前膜剥除术中行空气填充治疗特发性黄斑前膜的疗效.docVIP

玻璃体切除联合黄斑前膜剥除术中行空气填充治疗特发性黄斑前膜的疗效 赵智晶 刘瑶 苏州大学医学部 中国江苏省常州市第一人民医院眼科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:比较玻璃体切除术+黄斑前膜剥除术联合或不联合空气填充治疗特发性黄斑前膜的效果。方法:特发性黄斑前膜42例46眼均合并有老年性白内障, A组23例25眼, 行玻璃体切除并黄斑前膜剥除术联合空气填充;B组19例21眼, 行玻璃体切除术+黄斑前膜剥除术。比较两组患者手术前后和组间视力、黄斑中心区厚度 (central macular thickness, CMT) 。观察两组患者术中和术后并发症发生情况。结果:术前, 两组患者年龄、术前视力、黄斑厚度比较, 差异均无统计学意义 (P0.05) 。术后1wk, 3、6mo, 两组患者视力均显著改善, CMT均明显减小, 与术前比较差异均有统计学意义 (P0.05) 。术后两组患者间视力、CMT比较, 差异均无统计学意义 (P0.05) , 且术后两组患者视力与黄斑厚度均无相关性。两组患者术中和术后均无严重并发症发生。结论:玻璃体切除术+黄斑前膜剥除术联合或不联合空气填充术均能安全、有效地治疗特发性黄斑前膜, 同时联合空气填充术未显示优势。 关键词： 特发性黄斑前膜; 白内障; 空气填充术; 作者简介：赵智晶, 2011级苏州大学临床医学本硕连读专业在读硕士研究生, 研究方向:眼底病。 作者简介：刘瑶, 医学博士, 主任医师, 教授, 硕士研究生导师, 研究方向:视网膜疾病、黄斑疾病、白内障.jiahl2000@163.com 收稿日期：2017-07-25 Comparative observation of vitrectomy with macular epiretinal membranes peeling with or without air tamponade for idiopathic macular epiretinal membranes Zhi-Jing Zhao Yao Liu Medical College of Soochow University; Department of Ophthalmology, the First Peoples Hospital of Changzhou; Abstract： AIM:To compare the treatment efficacy of vitrectomy with macular epiretinal membrane ( M EM) peeling combined with or without air tamponade for idiopathic macular epiretinal membranes ( IM EM) .METHODS:Forty-two cases of IMEM patients ( 46 eyes) associated with cataract were randomly divided into two groups.Twenty-five eyes of 23 cases in Group A were performed with vitrectomy with macular epiretinal membrane peeling combined with air tamponade.The other 21 eyes of 19 cases in Group B only underwent vitrectomy and macular epiretinal membrane peeling ( without air tamponade) .The visual acuity and central macular thickness ( CMT) were compared between the two groups before and after the surgery.The intraoperative and postoperative complications were also observed in both groups in the mean time.RESULTS:There was no statistical significant difference between two groups in age, visual acuity and CMT before operation ( P 0.05)