吲哚青绿染色联合全氟丙烷填充治疗对高度近视黄斑裂孔视网膜脱离患者预后及黄斑区结构的影响

目的 探讨吲哚青绿染色联合全氟丙烷(C3F8)填充治疗对高度近视黄斑裂孔视网膜脱离患者预后及黄斑区结构的影响.方法 选取医院2015年8月至2018年8月收治的高度近视黄斑裂孔视网膜脱离患者90例,随机分为对照组和观察组,各45例.对照组患者仅予术后玻璃体腔注射C3F8填充治疗,观察组患者予吲哚青绿染色联合C3F8填充...

Effect of Indocyanine Green Staining Combined with Octafluoropropane Filling on the Prognosis and Structural and Functional Changes of Macular Region in High Myopia Patients with Macular Hole and Retinal Detachment

Objective To investigate the effect of indocyanine green staining combined with octafluoropropane(C3 F8)filling on the prognosis and structural and functional changes of macular region in high myopia patients with macular hole and retinal detachment.Methods Totally 90 high myopia patients with macular hole and retinal detachment admitted to our hospital from August 2015 to August 2018 were selected and randomly divided into the control group and the observation group,45 cases in each group.The patients in the control group were given intravitreal injection of C3 F8 filling,while the patients in the observation group were given indocyanine green staining combined with C3 F8 filling.Results The patients with retinal reattachment in the observation group were significantly more than those in the control group,and the patients with subretinal shallow detachment in the observation group were significantly fewer than those in the control group(P<0.05).The logarithmic visual acuity of the observation group at different time points after the operation was significantly higher than that of the control group(P<0.05).The intraocular pressure of the patients in the observation group at 1 week,1 month and 3 months after the operation was significantly lower than that of the control group(P<0.05),and there was no significant difference in intraocular pressure between the two groups at 6 months after the operation(P>0.05).After treatment,the thickness of macular fovea,the temporal,nasal,upper and lower thickness of inner and outer rings in the observation group were significantly thinner than those in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Indocyanine green staining combined with C3 F8 filling in the treatment of high myopia patients with macular hole and retinal detachment can improve the prognosis and the structure and function of macular region.