扁平部玻璃體切除術對黃斑部裂孔性視網膜剝離之治療結果

Pars Plana Vitrectomy for the Retinal Detachment from Macular Hole

劉榮宏(Jorn-Hon Liu) ； 鄧映平(Ying-Pyne Teng) ； 黃書紳(Chia-Lee Lin) ； 林嘉理(Shu-Shen Huang) ； 林睦秋(Muh-Chiou Lin)

《中華民國眼科醫學會會刊》 27卷2期 (1988/05) Pp. 717-722

https://doi.org/10.30048/ACTASOS.198805.0129

摘要

從1982年至1987年，我們以玻璃體切除術治療51例黃斑部裂孔性視網膜剝離；早期的19例以玻璃體切除術加上黃斑部位的冷凍凝固術治療，成功的有12例(63.2%)，失敗的7例中，經追加治療後，又有4例成功，3例失敗。後期的32例經單純的玻璃體切除術而不經黃斑部位的處理，成功的有15例(46.9%)，17再發例中，經氣液體交換術併黃斑部位的雷射光凝術後，14例成功，3例再發；總成功率88.2% (45/51)。
術前玻璃體後極部分離、視網膜上纖維膜，後極部往後膨出等之有無，及眼屈光狀態等，經分析均無統計學上有意義之差異，唯有近視在－6.0至－10，0D之族群中，成功率較低。

並列摘要

A series of 51 cases of macular hole retinal detachment treated by pars plana vitrectomy between January 1982 and June 1987 is presented. For the first 19 cases, single cryopexy on the macula was applied in addition to the vitrectomy procedure; this resulted in attachment in 12 cases (63.2%), and failure in 7 cases. Reoperation by fluid-gas-exchange and laser photocoagulation or macular buckle on the latter 7 cases achieved 4 additional cases of reattachment. For the last 32 cases, vitrectomy alone was done without intraoperative irritative treatment which resulted in attachment in 15 cases (46.9%). Fluid-gas exchange followed by laser photocoagulation was done to the remained 17 redetached cases; this resulted in 14 success and 3 failures. The overall success rate was 88.2% (45/51).
Whether or not there are posterior vitreous detachment, pre-macular membrane, posterior staphyloma, and variants in refractive status showed no statistical significance in the surgical results.

並列關鍵字

macular hole ； retinal detachment ； vitrectomy ； cryopexy ； laser photo coagulation ； internal drainage ； fluid-gas exchange