目的:探讨增殖性糖尿病视网膜病变(proliferative diabeticretinopathy,PDR)的手术治疗效果。方法:收集2008-03/2011-06于我院行前后节手术联合硅油植入术治疗PDR的患者43例51眼对术后最佳矫正视力,视网膜复位情况,术后并发症进行回顾性分析。结果:视力不同程度提高39眼(76%),视力无明显变化9眼(18%),视力较术前下降3眼(6%)。一次性视网膜复位率达100%,硅油取出后出现不同程度视网膜脱离4眼,二次手术后复位良好。结论:前后节手术联合硅油填充术可以有效的提高患者术后视力,避免再次接受白内障手术发生术中并发症的危险性,降低玻璃体切割术后再出血及视网膜脱离等并发症的风险,是治疗PDR的一种安全有效的方法。

AIM:To investigate the outcome of the anteroposterior surgery combined with silicone oil implantation for proliferative diabetic retinopathy(PDR).METHODS:Totally 51 eyes of 43 PDR patients underwent anteroposterior surgery combined with silicone oil implantation from March 2008 to June 2011,whose postoperative best-corrected visual activity,reattachment of retina and complications were retrospectively analyzed.RESULTS:Totally 39 eyes(76%) showed improved visual acuity postoperatively.9 eyes(18%) showed unimproved.3 eyes(6%) showed vision impaired.All eyes(100%) showed anatomic repair of retinal detachment after the surgery.4 eyes occurred retinal detachment after silicon oil dislodgment,anatomically repaired after second surgery.CONCLUSION:Anteroposterior surgery combined with silicone oil implantation,which can improve visual acuity postoperatively,to avoid the complications of cataract surgery and decrease the incidence rate of rehaemorrhagia and retinal detachment after vitrectomy,is safe and effective in treating patients with PDR.

R779.6