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目的 复习一组采用玻璃体手术无辅助治疗黄斑裂孔病例的解剖和视力结果。方法 对 16例 (特发性黄斑裂孔 14眼和外伤性黄斑裂孔 2眼 )玻璃体切割、液 -气交换和全氟丙烷 (C3F8)气体填充者进行回顾性分析。结果 平均随访 7m o,有 15眼 (93% )获得黄斑裂孔解剖愈合 ,仅 1眼还需要做 2次手术。术后视力 3眼 (19% ) 0 .4,4眼 (2 5 % ) 0 .2～0 .3,9眼 (5 6 % ) 0 .1或以下。结论 玻璃体切割术眼内注气和术后面向下体位是一可耐受而有效的治疗特发性或一些外伤性黄斑裂孔的方法 ,特发性黄斑裂孔和外伤性黄斑裂孔行玻璃体手术无辅助性治疗可得到解剖成功 ,大多数术眼黄斑裂孔的解剖闭合可伴有视力的明显增进
Objective To review the anatomy and visual acuity of a group of patients with macular hole treated with vitrectomy without adjuvant treatment. Methods A retrospective analysis was performed on vitrectomy, liquid-gas exchange and perfluorinated propane (C3F8) gas filling in 16 patients (14 eyes with idiopathic macular hole and 2 eyes with traumatic macular hole). Results The average follow-up 7m o, 15 eyes (93%) obtained macular hole dissection healing, only 1 eye also need to do 2 surgeries. Postoperative visual acuity was observed in 3 eyes (19%) 0.4, 4 eyes (25%) 0.2-2.3, 9 eyes (56%) 0.1 or less. Conclusions Vitrectomy with intraocular gas injection and postoperative face-down position is a tolerable and effective method of treatment of idiopathic or traumatic macular holes. Vitreous surgery is not associated with idiopathic macular holes and traumatic macular holes Sexual treatment can be anatomical success, most of the eye macular hole anatomy can be associated with significant visual acuity