Resight非接触广角镜联合23G玻璃体切割系统对玻璃体积血的效果

发布时间：2018-04-06 22:31

本文选题：非接触广角观察系统　切入点：G玻璃体切割系统　出处：《广东医学》2017年16期

【摘要】：目的评估Resight非接触广角镜联合23G玻璃体切割系统对玻璃体积血治疗的临床效果及安全性。方法回顾性分析确诊为玻璃体积血,并通过Resight广角镜联合23G玻璃体切割系统手术治疗的患者53例53眼,术后随访3~12个月,记录最佳矫正视力(BCVA)、术后并发症及眼压情况。结果 53例患者术后视力较术前不同程度提高,术前平均BCVA为(0.032 7±0.073 1)logmar,术后末次随访平均BCVA为(0.251 7±0.208 9)logmar,术后视力与术前比较,差异有统计学意义(P0.05)。术前平均眼压(14.47±2.85)mm Hg,术后平均眼压(14.79±2.73)mm Hg,差异无统计学意义(P0.05)。所有病例末次随访时未见明显眼内炎、低眼压、继发性青光眼、脉络膜大出血、视网膜脱离等严重并发症。结论 Resight非接触广角镜联合23G玻璃体切割术可明显提高患者视力,减少术后并发症发生,是临床上治疗玻璃体积血安全而有效的方法。
[Abstract]:Objective to evaluate the clinical efficacy and safety of Resight wide angle endoscopy combined with 23 G vitrectomy system in the treatment of vitreous hemorrhage.Methods 53 patients (53 eyes) who were diagnosed as vitreous hemorrhage and treated by Resight wide angle endoscopy combined with 23 G vitrectomy system were retrospectively analyzed. The patients were followed up for 3 ~ 12 months to record the best corrected visual acuity (BCV), postoperative complications and intraocular pressure (IOP).Results the postoperative visual acuity of 53 patients was improved in varying degrees, the mean preoperative BCVA was 0.032 7 卤0.073 1g log marr, and the average BCVA of the last follow-up was 0.2557 卤0.208 9 minutes logmar.The difference between postoperative visual acuity and preoperative visual acuity was statistically significant (P 0.05).The mean intraocular pressure (IOP) was 14.47 卤2.85)mm Hg before operation and 14.79 卤2.73)mm Hg after operation. There was no significant difference (P 0.05).No severe complications such as endophthalmitis, low intraocular pressure, secondary glaucoma, choroidal hemorrhage and retinal detachment were found at the last follow-up.Conclusion Resight combined with 23 G vitrectomy can significantly improve the visual acuity and reduce postoperative complications. It is a safe and effective method for the treatment of vitreous hemorrhage.
【作者单位】：萍乡市人民医院眼科;
【分类号】：R779.6

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