23G无缝线玻璃体切割手术在治疗玻璃体视网膜疾病中的应用

发布时间：2019-03-18 21:37

【摘要】：目的:探讨23 G无缝线玻璃体切割手术治疗玻璃体视网膜疾病的疗效。方法:应用23 G无缝线玻璃体切割技术在接触式广角镜下对154例玻璃体视网膜疾病进行手术,观察手术疗效,术中及术后并发症,手术时间,手术前后视力及眼压变化。结果:1共134例154眼均顺利完成。2手术时间28~83 min,平均(42.0±5.2)min。3术后1、2、3月最佳矫正视力与术前对比均有所提高(n=154,具体P值见表1)。4术前与术后第1、3、7、30天眼压比较,术后第1天有较低和较高的眼压,术后3 d高眼压较多,术后7、30 d眼压稳定。53例(1.9%)术后出现低眼压,15例(9.7%)高眼压,无眼内炎发生。结论:采用23 G无缝线玻璃体手术治疗玻璃体视网膜疾病,具有手术时间短、创伤小、并发症少、术后视力恢复快、手术疗效确切的优点。
[Abstract]:Objective: to evaluate the efficacy of 23 G seamless vitrectomy in the treatment of vitreoretinal diseases. Methods: a total of 154 cases of vitreoretinal diseases were treated with 23-G seamless vitrectomy. The curative effect, complications, operative time, visual acuity and intraocular pressure (IOP) before and after surgery were observed in 154 patients with vitreoretinal diseases. Results: 1134 cases (154 eyes) were successfully completed. 2 the average operative time of 28 ~ 83 min, was (42. 0 卤5. 2) min.3, and the best corrected visual acuity at 2 and 3 months was higher than that before operation (n = 154, P < 0. 05, P < 0. 05). (4) compared with postoperative IOP 1,3,7,30 days after operation, IOP was lower and higher on the first day, higher on the 3rd day after operation, stable on the 7th and 30th day after operation, and low IOP occurred in 53 cases (1.9%), and the IOP was stable on the 7th and 30th day after the operation, and the IOP was lower and higher on the 1st day after the operation than on the 1,3,7,30 days after the operation. 15 cases (9.7%) had high IOP without endophthalmitis. Conclusion: the treatment of vitreoretinal diseases with 23 G seamless vitrectomy has the advantages of short operation time, less trauma, less complications, quick recovery of postoperative visual acuity and definite curative effect.
【作者单位】：重庆医科大学附属第一医院眼科、眼科学重庆市市级重点实验室、重庆市眼科研究所;
【分类号】：R779.6

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