| 内界膜剥除治疗白内障术后囊样黄斑水肿 |
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| 引用本文： | 白领娣,李玉涛,陈芳,高胜改,徐斌,张怀强. 内界膜剥除治疗白内障术后囊样黄斑水肿[J]. 眼外伤职业眼病杂志, 2005, 27(8): 583-585 |
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| 作者姓名： | 白领娣 李玉涛 陈芳 高胜改 徐斌 张怀强 |
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| 作者单位： | 1. 唐山市眼科医院,河北,唐山,063000
2. 唐山市卫生学校,河北,唐山,063004 |
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| 摘 要： | 目的探讨内界膜(ILM)剥除术治疗人工晶状体植入术后囊样黄斑水肿(CME)的手术效果。对象和方法对于经前置镜和光学相干眼底断层扫描(OCT)确诊,无前部玻璃体牵引因素的人工晶状体植入术后囊样黄斑水肿进行玻璃体切除内界膜剥离术14例(15眼),追踪观察其视力预后、囊样黄斑水肿消失时间。结果术后全部病例的CME迅速改善,消失时间为1~12月,平均2.9月,2月内消失者占80.00%。视力预后与白内障手术到CME发生的时间、CME到ILM剥除术的时间间隔呈负相关关系。结论对于无前部玻璃体牵拉因素的人工晶状体植入术后的CME,早期行内界膜剥除术可以促使CME改善或消失,视力提高。
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| 关 键 词： | 人工晶状体植入术 囊样黄斑水肿 |
| 文章编号： | 1004-6461（2005）08-0583-03 |
| 收稿时间： | 2004-08-03 |
| 修稿时间： | 2004-08-032004-11-09 |
The treatment of cystoid macular edema after implanting intraocular lens by peeling internal limiting membrane |
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| BAI Ling-di,LI Yu-tao,CHEN Fang,GAO Sheng-gai,XU Bin,ZHANG Huai-qing. The treatment of cystoid macular edema after implanting intraocular lens by peeling internal limiting membrane[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2005, 27(8): 583-585 |
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| Authors: | BAI Ling-di LI Yu-tao CHEN Fang GAO Sheng-gai XU Bin ZHANG Huai-qing |
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| Abstract: | Objective To evaluate the effect of internal limiting membrane removal for cystoid macular edema(CME) after intraocular lens(IOL) surgery.Methods CME after IOL surgery without complications was diagnosed by slit-lamp biomicroscopy with contact lens and OCT,treated by internal limiting membrane removal.Visual acuity and CME resolution period after surgery were evaluated.Results CME improved postoperatively in all cases.Resolution period ranged from 1 to 12 months,with an average of 2.9 months.CME resolution in 2 months was 80%.The factors related to postoperative visual acuity were IOL-CME interval and CME-ILM interval.Conclusion Early vitrectomy for CME after IOL surgery can improve visual acutiy and CME resolve quickly. |
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| Keywords: | intraocular lens cystoid macular edema surgery |
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