玻璃体切割联合内界膜剥离术治疗特发性黄斑裂孔

目的评价玻璃体切割联合内界膜剥离术治疗特发性黄斑裂孔的临床疗效。方法采用玻璃体切割联合内界膜剥离术治疗特发性黄斑裂孔17例17眼,对患者术前术后视功能、术后黄斑裂孔闭合及手术主要并发症等进行检查和随访。结果本组17眼均成功剥离内界膜。随访5～24个月,其中13眼黄斑裂孔完全闭合,4眼裂孔直径缩小,裂孔封闭成功率为76.47%;17眼中14眼视力提高,视力提高率为82.35%;视物变形等症状也有明显改善。并发症主要有术中毛细血管性出血、术后一过性高眼压及晶状体后囊下混浊。结论玻璃体切割联合内界膜剥离术可有效封闭特发性黄斑裂孔,提高视功能。

Vitrectomy combined with internal limiting membrane peeling for idiopathic macular hole

Objective To evaluate the curative effect of vitrectomy combined with internal limiting membrane peeling in the treatment of idiopathic macular hole.Methods Preoperative and postoperative visual function,closure of macular hole and postoperatively major complications were checked up and followed-up in 17 consecutive patients(17 eyes) with idiopathic macular hole underwent vitrectomy combined with internal limiting membrane peeling.Results Internal limiting membrane was successfully peeled in 17 cases.After following-up for 5 to 24 months,macular hole of 13 eyes were completely closed,and diameter of slit pore narrowed in 4 eyes.The successful closure rate was 76.47%.And the visual acuity of 14 eyes was improved(82.35%).The symptom of deformation had noticeable improvements.The major complications were capillary haemorrhag,temporary high intraocular pressure and lens opacity.Conclusion Vitrectomy combined with internal limiting membrane peeling is effective in the treatment of idiopathic macular holes,and improves visual function.