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目的评价玻璃体切割手术治疗牵引性黄斑病变的效果。方法对玻璃体黄斑牵引综合征3例、特发性黄斑视网膜前膜5例、继发性黄斑前膜和黄斑皱襞5例、继发性玻璃体黄斑牵拉6例,共19例(19眼)眼作了玻璃体切除手术患者的临床病史资料进行回顾性对比分析。结果19眼中1眼术前伴有黄斑板层裂孔,术后发展为全层裂孔,视力轻度下降,2眼无变化,其余16眼均有不程度提高。全部患眼术后对黄斑的牵拉解除,组织水肿增厚减轻,13眼术前后OCT检查显示黄斑中心的厚度由术前平均668μm下降至最后随访时的平均312μm(p<0.05)。结论玻璃体切除术对各种原因的牵引性黄斑病变有良好的治疗效果,大部分患者视力提高,黄斑厚度下降,变形视改善。
Objective To evaluate the effect of vitrectomy on traction-induced maculopathy. Methods Three cases of vitreomacular traction syndrome, 5 cases of idiopathic macular anterior retinal membrane, 5 cases of secondary macular anterior membrane and macula folds, 6 cases of secondary vitreoretinal traction, 19 cases (19 eyes) A retrospective comparative analysis of the clinical history data of patients undergoing vitrectomy was performed. Results One of the 19 eyes had a preoperative macular hole, and developed a full-thickness hole after operation. The visual acuity decreased slightly, while no change was observed in the two eyes. The other 16 eyes had no improvement. All of the affected eyes were relieved of macular detachment and edema of the edema. Thirteen eyes underwent OCT examination before and after surgery showed that the thickness of the macular center decreased from an average of 668μm preoperatively to an average of 312μm at the final follow-up (p <0.05). Conclusions Vitrectomy has a good therapeutic effect on traumatic maculopathy for various reasons. Most patients have improved visual acuity, decreased macula thickness and improved deformation.