[关键词]
[摘要]
目的:观察和评价23G玻璃体切割联合内界膜撕除术治疗早期高度近视性黄斑劈裂的有效性和安全性,并探讨更适宜的手术方式。
方法:收集2013-01/2014-06我院高度近视性黄斑劈裂患者29例29眼随机分为试验组(15眼)和对照组(14眼),试验组给予23G玻璃体切割联合内界膜撕除+玻璃体腔内注气治疗,对照组给予23G玻璃体切割联合内界膜撕除治疗,术后随访视网膜复位率和最佳矫正视力提高率。
结果:两组术后视网膜复位率及最佳矫正视力均较术前有显著提高,差异有统计学意义(P<0.05)。术后两组间差异无统计学意义(P>0.05)
结论:23G玻璃体切割联合内界膜剥除是治疗早期高度近视性黄斑劈裂的有效手段。
[Key word]
[Abstract]
AIM: To evaluate the efficacy and safety of the internal limiting membrane(ILM)peeling combined with 23G vitrectomy for early treatment of foveoschisis with high myopia and explore more suitable operation methods.
METHODS: Twenty-nine high myopia patients(29 eyes)with foveoschisis in our hospital from January, 2013 to June, 2014 were selected and divided into two groups: the experimental group(15 eyes)was treated by 23G vitrectomy combined with ILM peeling and intraocular gas injection therapy, and the control group(14 eyes)was treated only with 23G vitrectomy combined with ILM peeling. The best spectacle-correction and foveoschisis reattachment were postoperatively followed up.
RESULTS:The best spectacle-correction and foveoschisis reattachment were improved significantly compared with preoperative in two groups(P<0.05). There was no significant difference between the two groups at postoperative(P>0.05).
CONCLUSION: 23G vitrectomy with ILM peeling is more effective for early treatment of foveoschisis with high myopia.
[中图分类号]
[基金项目]
江西省卫生厅科技计划(No.20141062)