Ando孔在糖尿病视网膜病变玻璃体切割术中的应用及疗效观察

目的:观察在糖尿病性视网膜病变(diabeticretinopathy,DR)患者玻璃体切割术中应用与既往未应用Ando孔患者术后并发症的比较。方法:回顾分析中国医科大学附属第一医院眼科收治入院并行玻璃体切割联合超声乳化晶状体摘除人工晶状体植入术的DR患者90例95眼,术中采用Ando孔治疗,既往我院收治行同样手术但未行Ando孔治疗的DR患者92例98眼,观察两组患者术后并发症——虹膜后粘连、瞳孔闭锁致高眼压的发生率。结果:对照组患者术后发生瞳孔闭锁者15眼,致高眼压者12眼,实验组患者发生瞳孔闭锁者14眼,致高眼压者0眼。两组相比较,术后虹膜后粘连及瞳孔闭锁的发生率无统计学差异,但瞳孔闭锁致高眼压的发生率两者有明显差异。结论:DR患者玻璃体切割术中行Ando孔治疗可避免患者术后发生瞳孔闭锁导致的高眼压。

Therapeutic effects and application of Ando hole in vitrectomy for diabetic retinopathy

·AIM:To observe the comparision of postoperative complications between with and without Ando hole in vitrectomy for diabetic retinopathy.·METHODS:The patients who were treated with vitrectomy surgery combined with PEA and intraocular lens(IOL)implantation were retrospectively analyzed,including 90 cases(95 eyes)with Ando hole and 92 cases(98 eyes)without Ando hole in department of ophthalmology of the first hospital of China Medical University.The incidences of postoperative complications-posterior synechia of the iris,IOP rising caused by atretopsia were observed.·RESULTS:There were 15 eyes with atretopsia and 12 eyes with IOP raising in control group.There were 14 eyes with atretopsia and none with IOP rising in control group.There were no significant differences in the incidences of atretopsia and posterior synechia of the iris between the two groups,but the incidences of IOP rising were significantly different between the two groups.·CONCLUSION:Ando hole can avoid IOP rising caused by atretopsia in vitrectomy for diabetic retinopathy.·