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1、23G玻璃體切割聯(lián)合內(nèi)界膜剝離治療高度近視性黃斑劈裂的療效許立帥楊小麗(通訊作者)蘭長駿(川北醫(yī)學(xué)院附屬醫(yī)院眼科四川南充637000)【摘要】R的：評估23G玻璃體切割(PPV)聯(lián)合
2、Aj界膜剝離(ILMP)及長效氣體眼內(nèi)填充治療高度近視性黃斑劈裂(HMF)的療效。方法：收集我院行23GPPV聯(lián)合ILMP及長效氣體眼內(nèi)填充治療HMF患者28例(36眼｝，術(shù)后隨訪6個月，行視力、OCT及mfERG等檢查，并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：患考術(shù)后視力較術(shù)前均有提高,差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)ACT提示32眼黃斑區(qū)解剖結(jié)構(gòu)恢復(fù)，4眼好轉(zhuǎn)。mf
3、ERG提示術(shù)后6個月時(shí)，1環(huán)P1波潛伏期較術(shù)前縮短,P1波振幅密度提高(P<0.05),mfERG的三維地形圖的屮央峰逐漸恢復(fù)，旁屮心凹區(qū)域不規(guī)則低反應(yīng)區(qū)減少或消失。結(jié)論：23GPPV聯(lián)合ILMP及長效氣體眼內(nèi)填充治療HMF安全有效。【關(guān)鍵詞】玻璃體切割高度近視黃斑劈裂內(nèi)界膜剝離【中圖分類號】R77【文獻(xiàn)標(biāo)識碼】A【文章編號】2095-1752(2014)15-0314-02Efficacyof23GvitrectomyintreatmentoffoveoschisisinhighmyopiceyesLi-shuaiXu,Xiao-li
4、Yang,Chang-junLanDepartmentofOphthalmology,AffiliatedHospitalofNorthSichuanMedicalCollge,Nanchong,Sichuan637000，P.R.China[Abstract]Objective:Toevaluatetheefficacyof23Gparsplanavitrectomy(PPV)withinternallimitingmembranepeeling(ILMP)associatedwithgastamponadeineyeswithhighmy
5、opicfoveoschisis.METHODS:36eyesof28highlymyopicpatientswithfoveoschisiswhounderwentPPVcombine!withILMPassociatedwithgastamponadeinourhospitalwerecollected.Visualacuity,mfERG,andOCTwereexaminedprcoperativelyandpostoperatively.Theresultswereanalyzedstatisticallyandcompared.RE
6、SULTS:Forfollow-uptimesofsixmonths,BCVAofallpatientsimprovedaftertreatment.TherewerestatisticallysignificantdifferencesbetweenbeforetreatmentandaftertreatmentinBCVA(P<0.05).OCT:Thefoveoschisiscompletelyresolvedin32eyesandpartiallyresolvedintheremaining4eyes.mfERG:6months
7、postoperatively,incubationperiodofwavePIofring1wasshorterthanpreoperatively,theresponsedensitiesofwavePlofring1gothigherpostoperatively(P<0.05),thecentralpeaksofmfERGtopographiesreappearedlittlebylittleduring6monthsafterthesurgery,alsotheirregularlowreactionregionsinthep
8、arafovealareaweredecreasedgraduallyordisappeared.CONCLUSION:23GPPVcombindwithILMPassociatedwithgastamponadeisasafeandeffectivesurgicaltreatmentforhighmyopicfoveoschisis.【Keywords】vitrectomyhighymyopiafoveoschisisinternallimitingmembranepeeling高度近視性黃斑劈裂(highmyopicfoveoschisi
9、s,HMF)是高度近視(highmyopic,HM)的常見并發(fā)癥，也是導(dǎo)致患者視力下降和視物變形的的主要原因［1］。黃斑劈裂手術(shù)時(shí)機(jī)和療效，是0前關(guān)注熱點(diǎn)。23G經(jīng)
