[1]董尼娜,王文战.光学相干断层扫描评价孔源性视网膜脱离的玻璃体手术疗效[J].眼科新进展,2014,34(5):451-453.[doi:10.13389/j.cnki.rao.2014.0123]
　DONG Ni-Na,WANG Wen-Zhan.Evaluation of vitrectomy for rhegmatogenous retinal detachment by optical coherence tomography[J].Recent Advances in Ophthalmology,2014,34(5):451-453.[doi:10.13389/j.cnki.rao.2014.0123]
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光学相干断层扫描评价孔源性视网膜脱离的玻璃体手术疗效
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年5期
页码:
451-453
栏目:
应用研究
出版日期:
2014-05-05

文章信息/Info

Title:
Evaluation of vitrectomy for rhegmatogenous retinal detachment by optical coherence tomography
作者:
董尼娜; 王文战
４５００５２　河南省郑州市， 郑州大学第一附属医院眼科
Author(s):
DONG Ni-Na ;  WANG Wen-Zhan
关键词:
光学相干断层扫描; 孔源性视网膜脱离; 黄斑; 玻璃体手术
Keywords:
optical coherence tomography ;  thegmatogenous retinal detachment;  macula ;  vitrectomy
DOI:
10.13389/j.cnki.rao.2014.0123
文献标志码:
A
摘要:
目的　利用光学相干断层扫描（ｏｐｔｉｃａｌｃｏｈｅｒｅｎｃｅｔｏｍｏｇｒａｐｈｙ，ＯＣＴ）评价孔源性视网膜脱离患者行玻璃体手术的疗效。方法　回顾性分析９４例（９４眼）孔源性视网膜脱离患者资料。根据术前ＯＣＴ检查黄斑区视网膜是否脱离分为两组：Ａ组（黄斑区神经上皮脱离）和Ｂ组（黄斑区神经上皮未脱离），所有患者均行玻璃体切割联合视网膜光凝及硅油填充术，记录术前及术后３个月最佳矫正视力、眼压、前置镜及ＯＣＴ眼底检查结果。结果　术后３个月，两组最佳矫正视力与术前相比提高，差异均有统计学意义（均为Ｐ＜００５），Ｂ组提高程度高于Ａ组（Ｐ＜００５）；两组术前术后眼压及术后视网膜脱离复发率比较，差异均无统计学意义（均为Ｐ＞００５）；黄斑形态异常（黄斑神经上皮下积液、黄斑水肿、黄斑前膜）的发生率Ａ组（５５６％）高于Ｂ组（２２５％）（Ｐ＜００５）；其中，黄斑水肿者的中心凹视网膜厚度值与ＢＣＶＡ具有相关关系（Ｐ＜００５），黄斑神经上皮下积液者的中心凹视网膜厚度值与ＢＣＶＡ无明显相关性（Ｐ＞００５）。结论　ＯＣＴ可作为孔源性视网膜脱离玻璃体手术疗效评价的重要工具，尤其对于脱离范围波及黄斑区的患者，ＯＣＴ随诊具有重要价值。
Abstract:
Objective To evaluate the prognosis of vitrectomy for thegmatogenous retinal detachment ( RRD) by optical coherence tomography ( OCT) . Methods Ninety-four patients (94 eyes) with thegmatogenous retinal detachment were analyzed retrospectively. According to the preoperative OCT exanunation , the cases were divided into two groups: group A ( macula-off RRD group) and group B ( no macula-off RRD group). All cases were performed vitrectomy combined with retinal photocoagulation and silicone oil injection surgery. The best corrected visual acuity ( BCVA) , intraocular pressure , slit lamp biomicroscope and OCT were recorded at pre-operation and postoperative 3 months. Results BCVA in both groups were improved at postoperative 3 months,the differences were statistically significant compared with pre-operation ( all P <0. 05 ) , the group A was significantly higher than the group B (P < 0. 05 ). Neither preoperative and postoperative intraocular pressure nor the postoperative recurrence rate of retinal detachment had significantly differences between two groups ( all P >0. 05 ) . The incidence of macular morphological abnormalities ( submacular fluid , macular edema , epiretinal membrane) in group A( 55 . 6% ) was higher than those in group B ( 22. 5 % ) ( P < 0. 05 ) . Moreover . the foveal retinal thickness ( RT value) in patients with macular edema was correlated with BCVA ( P < 0. 05 ) . RT value in patients with submacular fluid( SMF) was not correlated with BCVA ( P > 0. 05 ) . Conclusion OCT can be used as an important tool for RRD patients to evaluate the efficacy of vitrectomy , especially for macula-off RRD patients , OCT exanunation will be of great value.

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更新日期/Last Update: 2014-05-04