摘要
目的评价玻璃体手术治疗增殖性糖尿病视网膜病变的疗效。方法回顾分析玻璃体手术治疗PDR患者65例80眼的临床资料。随访62眼,随访期3～26个月(平均8.3个月)。按Ryan and All标准比较Ⅰ组(玻璃体积血或伴有纤维血管增殖)32眼和Ⅱ组(除玻璃体积血或伴有纤维血管增殖外,合并视网膜脱离)30眼的疗效。结果功能成功Ⅰ组27眼,Ⅱ组13眼;解剖成功Ⅰ组3眼,Ⅱ组8眼;失败Ⅰ组2眼,Ⅱ组9眼。两组间差异有极显著性(P<0.001)。结论玻璃体手术治疗PDR,仅有玻璃体积血或伴有纤维血管增殖组疗效优于合并有视网膜脱离组,术前光定位不良患眼预后差,手术宜慎重考虑。
Purpose To evaluate the effects of vitrectomy on the treatment of proliferative diabetic retinopathy. Methods 80eyes of 65 patients who had undergone vitrectomy for PDR were retrospectively reviewed,62 eyes of which was followed up with an average of 8.3 months(3 - 26 months). According to the Ryan and Allen standard, the effects were compared in group Ⅰ (32 eyes of vitreous hemorrhage or fibrovascular proliferative) and group Ⅱ (30 eyes of being combined with retinal detachment). Results Functional success was achieved in 27 eyes of group Ⅰ whereas in only 13 eyes of group Ⅱ , Anatomical success was achieved in 3 eyes of group Ⅰ whereas in 8 eyes of group Ⅱ. But 2 eyes of group Ⅰ and 9 eyes of group Ⅱ failed respectively. The difference was significant(P< 0.001). Conclusion The effect of vitrectomy on treating PDR were significantly better in the group of vitreous hemorrhage or fibrovascular proliferative than that of the group of eyes of being combined with retinal detachmet. The eyes with poor light perception have bad prognosis and should be carefully considered abandon surgery.
出处
《中国眼耳鼻喉科杂志》
2002年第4期233-235,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
