|本期目录/Table of Contents|

[1]田 农,黄振平,吴 勇,等.巩膜扣带术后黄斑解剖复位的临床观察[J].医学研究与战创伤救治(原医学研究生学报),2011,13(02):122-125.
　TIAN Nong,HUANG Zheng-ping,WU Yong,et al.Clinical investigation of macular reattachment after scleral buckling surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(02):122-125.
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巩膜扣带术后黄斑解剖复位的临床观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年02期
页码:
122-125
栏目:
出版日期:
2011-03-20

文章信息/Info

Title:
Clinical investigation of macular reattachment after scleral buckling surgery
文章编号:
1672-271X(2011)-02-0122-04
作者:
田 农; 黄振平; 吴 勇; 葛轶睿; 王 毅
210002 江苏南京，南京军区南京总医院眼科
Author(s):
TIAN Nong;  HUANG Zheng-ping;  WU Yong;  GE Yi-rui;  WANG Yi
Department of Ophthalmology, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing, Jiangsu 210002, China
关键词:
视网膜脱离; 光学相干断层扫描; 巩膜扣带术
Keywords:
retinal detachment;  optical coherence tomography;  scleral buckling
分类号:
R774.12
DOI:
-
文献标志码:
A
摘要:
目的 应用光学相干断层扫描( OCT )与眼底照相技术观察孔源性视网膜脱离术后黄斑脱离的复位并与视力恢复进行初步相关研究。方法 2007年1月至2010年4月在我科诊断为孔源性视网膜脱离患者，手术方法采用巩膜扣带术联合巩膜外冷凝+放液术，术后随访6~24个月有眼底照相与OCT检查记录患者47例( 47眼),所有患眼的玻璃体病变均≤B级,视网膜脱离范围在1–3象限之间,术前视力≤0.1占74.47% (35眼),≥0.12占25.53% (12眼),OCT记录术后1、3、6个月黄斑解剖学复位状况，部分1年以上。结果 术后临床眼底检查和眼底照相记录视网膜复位的46眼,1眼手术后视网膜脱离未复位。 通过OCT随访检查显示: 术后1个月及以内黄斑区视网膜色素上皮与神经上皮复位的有19眼( 41.30%),3个月时复位达29眼(63.04%),6个月复位眼数达35眼(76.09%),在术后1年的复位眼数为42眼(91.30%),至随访截止时有4眼(8.70%)黄斑未完全复位。视网膜中心凹神经上皮的厚度在术后1个月与3个月和6个月明显不同,术前与术后视力的对比研究显示:在术后6个月视力才有明显提高。结论 OCT检查为视网膜脱离术后黄斑解剖学复位提供了便捷,详细，客观的观察方法,视网膜脱离术后黄斑区的解剖复位与视力恢复需要较长的时间。
Abstract:
Objective To investigate the time course of foveal reattachment after scleral buckling surgery and its relation to visual recovery using optical coherence tomography and fundus photography. Methods Forty-seven patients (47 eyes) who were diagnosed rhegmatogenous retinal detachment were recruited into the study in our hospital. All of them had undergone a combination method of sclera buckling, cryotherapy, drainage and then followed up to 6 - 24 months. The preoperative visual acuity was less than or equal to 0.1 in 35 eyes (74.47%), equal to or greater than 0.12 in 12 eyes (25.53%). The extent of retinal detachment with macula-off was between 1 and 3 quadrants. Proliferative vitreoretinopathy was classified as staged B or less. Preoperative and postoperative fundus photographs were taken for all patients and optical coherence tomography (OCT) of the macula after the surgery in 1, 3, 6 months and over 12 months partially was scanned and reported. The neuroepithelial thickness in foveola was recorded by manual measurement. Results Postoperative follow-up with OCT scan showed 19 eyes of macular reattachment (41.30%) in a month, 29 eyes (63.04%) of macular reattachment in 3 months, 35 eyes (76.09%) in 6 months and 42 eyes (91.30%) over a year. There were 4 eyes (8.70%) remaining a little fluid of submacula which couldn’t been seen with funduscope in deadline of follow-up. The thickness of postoperative foveola in one month differed significantly from those in 3 or 6 months. The comparison of visual acuity preoperatively and postoperatively revealed the better visual recovery was occurred in 6 months. Conclusion OCT examination supplies a convenient, objective and quick method for understanding macula reattachment after surgery of retinal detachment. The visual acuity and macula reattachment completely may be needed more time for recovering.

参考文献/References:

[1]李学喜，李维娜，潘栋平,等.重度眼外伤合并视网膜脱离玻璃体手术疗效观察[J]. 东南国防医药，2009,11(5):433-434.
[2]Hassan TS, Sarrafizadeh R, Ruby AJ, et al. The effect of duration of macular detachment on results after the scleral buckle repair of primary macular-off retinal detachments[J]. Ophthalmology, 2002, 109(1):146-152.
[3]Salicone A, Smiddy WE, Venkatraman A, et al. Visual recovery after scleral buckling procedure for retinal detachment[J]. Ophthalmology, 2006, 113(10):1734-1742.
[4]Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after scleral buckle surgery for retinal detachment[J]. Ophthalmology, 2007, 114(1):108-112.
[5]Hagimura N, Iida T, Suto K, et al. Persistent foveal retinal detachment after successful rhegmatogenous retinal detachment surgery[J]. Am J Ophthalmol, 2002,133(4):516-520.
[6]Wolfensberger TJ . Foveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery[J]. Ophthalmology, 2004,111(7):1340-1343.
[7]Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after vitrectomy surgery for retinal detachment[J]. Ophthalmology, 2006,113(7):1179-1183.
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相似文献/References:

[1]李学喜,李维娜,潘栋平,等.重度眼外伤合并视网膜脱离玻璃体手术疗效观察[J].医学研究与战创伤救治(原医学研究生学报),2009,11(05):433.
[2]李霞,李岩,蔡维.玻璃体切割术治疗视网膜脱离的术后针灸护理康复分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(02):168.[doi:10.3969/j.issn.1672-271X.2016.02.018]
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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2011-03-20