特发性黄斑前膜术后解剖与功能恢复的预期影响因素

发布时间：2018-03-19 20:39

本文选题：特发性黄斑前膜　切入点：手术　出处：《眼科新进展》2014年08期 　论文类型：期刊论文

【摘要】：特发性黄斑前膜的标准手术方案是玻璃体切割联合前膜剥除术。然而同样成功的手术后患者视力、视物变形等功能和黄斑区解剖结构的预后却不尽相同。通过查阅大量相关文献,发现许多影响术后解剖和功能恢复的预期影响因素。术前因素中除术前最佳矫正视力和病程等我们熟知的影响因素外,频域光学相干断层成像技术的应用提供了更多黄斑前膜组织结构的改变,如术前黄斑中心区厚度、内核层厚度和光感受器细胞层连续性的改变等,这些信息可以作为我们推测预后的指标;手术方式、联合用药等术中因素和术后眼局部和全身用药情况均影响患者术后解剖和功能预后。
[Abstract]:The standard procedure for idiopathic macular membrane surgery is vitrectomy combined with anterior membrane excision. However, the function of visual deformation and the prognosis of macular anatomic structure are not the same. In addition to the best preoperative corrected visual acuity and course of disease, we found many expected factors affecting postoperative anatomical and functional recovery, such as the best preoperative corrected visual acuity, the course of disease, and so on. The application of frequency-domain optical coherence tomography provides more changes in the tissue structure of the premacular membrane, such as the thickness of the central macular area, the thickness of the nuclear layer and the continuity of the photoreceptor cell layer, etc. These information can be used as a predictor of prognosis, surgical methods, combined use of drugs and other intraoperative factors, as well as postoperative local and systemic use of drugs all affect the postoperative anatomic and functional prognosis of patients.
【作者单位】：华北电网有限公司北京电力医院眼科;首都医科大学附属北京同仁医院眼科;
【分类号】：R779.6

【相似文献】