| 曲安奈德辅助的内界膜剥除在黄斑疾病手术中的应用 |
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| 引用本文： | 何渊,张文一,王明扬,王军. 曲安奈德辅助的内界膜剥除在黄斑疾病手术中的应用[J]. 眼科, 2011, 20(4): 251-254 |
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| 作者姓名： | 何渊 张文一 王明扬 王军 |
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| 作者单位： | 北京同仁眼科中心,首都医科大学眼科学院北京市眼科学与视觉科学重点实验室,首都医科大学附属北京同仁医院,100730 |
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| 摘 要： | 目的探讨曲安奈德辅助下剥除视网膜内界膜的手术方法在黄斑裂孔和黄斑前膜手术中的应用及其疗效。设计回顾性病例系列。研究对象北京同仁医院特发性黄斑裂孔患者39例41眼,黄斑前膜23例23眼。方法全部患者施行闭合式玻璃体切除术。曲安奈德辅助下制作玻璃体后脱离,确认完全切除残留在黄斑周围的玻璃体后皮质,然后再次注入曲安奈德使之沉积于黄斑周围,利用视网膜镊完整地剥除内界膜,范围约2~3个视盘直径。主要指标视力、OCT结果及手术并发症。结果术后随访(17.73±7.09)个月,最佳矫正视力提高63眼(98.4%),不变1眼。全部患者完整地剥除内界膜,剥除区界限明显。通过OCT证实,全部黄斑裂孔闭合,黄斑前膜未见复发,未发生因剥除内界膜损伤视网膜的并发症。结论在黄斑裂孔和黄斑前膜手术中曲安奈德辅助下可安全完整地剥除内界膜,减少视网膜损伤。
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| 关 键 词： | 曲安奈德 内界膜剥除 黄斑裂孔 黄斑前膜 |
Triamcinolone acetonide-assisted internal limiting membrane peeling for macular surgery |
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| HE Yuan,ZHANG Wen-yi,WANG Ming-yang,WANG Jun. Triamcinolone acetonide-assisted internal limiting membrane peeling for macular surgery[J]. Ophthalmology in China, 2011, 20(4): 251-254 |
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| Authors: | HE Yuan ZHANG Wen-yi WANG Ming-yang WANG Jun |
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| Affiliation: | HE Yuan,ZHANG Wen-yi,WANG Ming-yang,WANG Jun.Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Ophthalmology & Visual Science Key Lab,Beijing 100730,China |
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| Abstract: | Objective To evaluate the effects of triamcinolone acetonide(TA) assisted pars plana vitrectomy for internal limiting membrane(ILM) peeling in the surgery of macular hole and macular epiretinal membrane.Design Retrospective case series.Participants Forty-one eyes of thirty-nine patients with macular holes and twenty-three eyes of twenty-three patients with macular epiretinal membranes were recruited into the study.Methods A standard three-port pars plana vitrectomy was performed in each case.TA was injected... |
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| Keywords: | triamcinolone acetonide internal limiting membrane peeling macular hole macular epiretinal membrane |
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