预防性玻璃体手术治疗急性视网膜坏死综合征远期疗效分析

发布时间：2018-06-02 18:39

  本文选题：急性视网膜坏死综合征 + 玻璃体手术　； 参考：《眼科新进展》2014年04期

【摘要】：目的分析预防性玻璃体切割术(prophylactic vitrectomy,PPV)治疗早期急性视网膜坏死综合征(acute retinal necrosis,ARN)的远期疗效。方法收集47例(55眼)行PPV治疗的早期不伴视网膜脱离ARN患者。眼底荧光血管造影诊断明确后行一期玻璃体切割伴硅油(49眼)或气体(6眼)填充术。治疗后随访12~88个月,平均30个月,分析患者术前、一期术后2周及末次随访时最佳矫正视力、视网膜复位、并发症等情况。结果术前最佳矫正视力≥0.1者4眼,一期术后2周≥0.1者27眼,未次随访≥0.1者23眼。平均手术次数1.93次,手术原因为单纯硅油取出47眼,二次硅油取出2眼,因增生性玻璃体视网膜病变所致视网膜脱离行硅油置换术1眼,裂孔性视网膜脱离行硅油置换术1眼,并发白内障1眼。末次随访视网膜在位55眼。结论早期PPV治疗ARN远期疗效稳定。远期随访对于评价ARN预后至关重要。
[Abstract]:Objective to analyze the long term effect of prophylactic vitrectomy for early acute retinal necrosis syndrome (ARN). Methods 47 cases (55 eyes) of ARN without retinal detachment were treated with PPV. Fundus fluorescein angiography (FFA) was performed in 49 eyes with vitrectomy and silicone oil (49 eyes) or with gas filling (6 eyes). The patients were followed up for 12 ~ 88 months (mean 30 months). The best corrected visual acuity, retinal reattachment and complications were analyzed before, 2 weeks and the last follow-up. Results the preoperative best corrected visual acuity (BCVA) was better in 4 eyes than 0.1 in 4 eyes, 27 eyes in 2 weeks after primary operation with 鈮，

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