Ultra Q-YAG玻璃体消融术治疗飞蚊症的临床初步观察

发布时间：2018-11-04 19:56

【摘要】：目的:研究Ultra Q-YAG玻璃体消融术治疗不同年龄段临床有症状飞蚊症患者的疗效及安全性。方法:回顾性队列研究。对2014-09/2015-05在北京爱尔英智眼科医院临床确诊为玻璃体混浊的患者263例340眼纳入研究,所有患者均行视力、眼压、裂隙灯、散瞳查眼底、B超检查,并记录玻璃体混浊物的形态,排除眼底病变。根据患者年龄分为两组:A组(30岁)78例82眼,玻璃体混浊的形态多为细点、丝状、网状;B组(45岁)185例258眼,玻璃体混浊的形态多为Weiss环,半透明絮状或致密纤维膜状。均排除外伤与眼内病变所致混浊,30~45岁患者由于混浊因素不典型被剔除。所有患者均由同一有经验医师行YAG玻璃体消融术(Ellex Medical Lasers),对比分析治疗后1mo飞蚊症状缓解情况。结果:行问卷调查,根据患者问卷得分将术后症状改善程度分为基本无改善(1~2分)、部分改善(3~5分)、显著改善(6~10分)。1mo后A组无改善9眼(11.0%),部分改善57眼(69.5%),显著改善16眼(19.5%);B组无改善0眼,部分改善23眼(8.9%),显著改善235眼(91.1%);所有患者无1例并发症发生。结论:YAG玻璃体消融术治疗飞蚊症安全有效。对于年龄30岁年龄组的飞蚊症患者,有改善但显著改善的几率不高。而对于年龄45岁年龄组,因玻璃体后脱离导致的玻璃体混浊,患者效果更佳。
[Abstract]:Objective: to study the efficacy and safety of Ultra Q-YAG vitreous ablation in the treatment of symptomatic mosquitoes in different age groups. Methods: retrospective cohort study. In the study, 263 cases (340 eyes) with vitreous opacity diagnosed clinically in Beijing Elin Eye Hospital on May 05, 2014-09 / 2015-05, were included in the study. All patients underwent visual acuity, intraocular pressure, slit lamp, mydriasis, fundus examination and B-ultrasound examination. The morphology of vitreous opacity was recorded and the fundus lesion was excluded. According to the age of the patients, they were divided into two groups: group A (30 years old), 78 cases (82 eyes), the shape of vitreous opacity was mostly fine, filamentous and reticular; B group (45 years old) 185 cases 258 eyes, the vitreous opacity shape is mostly Weiss ring, translucent flocculation or dense fibrous membrane shape. Opacity caused by trauma and intraocular lesion was excluded, and 30 ~ 45 years old patients were excluded because of atypical opacity factors. All the patients were treated with YAG vitreous ablation by the same experienced physician. (Ellex Medical Lasers), was compared to analyze the remission of 1mo after treatment. Results: according to the scores of the patients, the degree of symptom improvement was divided into three groups: no improvement (1 ~ 2 points), partial improvement (3 ~ 5 points), significant improvement (6 ~ 10 points), and no improvement in 9 eyes (11.0%) in group A after 1mo. Partial improvement was observed in 57 eyes (69.5%) and significant improvement in 16 eyes (19.5%). In group B, there was no improvement in 0 eyes, partial improvement in 23 eyes (8.9%), significant improvement in 235 eyes (91.1%), and no complication occurred in all patients. Conclusion: YAG vitreous ablation is safe and effective in the treatment of mosquito disease. For the 30-year-old group, the chances of improvement but significant improvement were low. For the 45-year-old group, the effect of vitreous opacity due to posterior vitreous detachment was better.
【作者单位】：北京爱尔英智眼科医院眼科;
【分类号】：R779.6

【相似文献】