【摘 要】
：
目的:在用或不用吲哚氰绿内界膜染色剥膜的情况下,比较特发性黄斑裂孔术后的解剖及视力结果.方法:对连续采用单纯注气术进行眼内填充的40眼特发性黄斑裂孔进行回顾性分析,所
【机 构】
：
中国香港疗养院和医院眼科,中国香港中文大学眼科及视觉科学系,中国香港眼科医院眼科
论文部分内容阅读
目的:在用或不用吲哚氰绿内界膜染色剥膜的情况下,比较特发性黄斑裂孔术后的解剖及视力结果.方法:对连续采用单纯注气术进行眼内填充的40眼特发性黄斑裂孔进行回顾性分析,所有手术均由一位医生完成.所有的患眼术后至少经过了6月的随访.40眼中的前22眼采用保留内界膜手术(非内界膜剥除组),后18眼采用吲哚氰绿对内界膜染色并进行内界膜剥除手术(内界膜剥除组).结果:内界膜剥除组和非内界膜剥除组特发性黄斑裂孔解剖复位率分别为88.9%和59.1%,统计结果有显著性差异(Fisher检验,P=0.038).内界膜剥除组视力提高较非内界膜剥除组更为明显,平均分别提高了3.46和1.3行(t检验,P=0.0356).多数病例术后视力提高2行或更多,在内界膜剥除组为66.7%,非内界膜剥除组为31.8%(x2检验,P=0.028).然而在2组之间最终的术后logMAR BCVA没有明显的差异(t检验,P=0.0073).结论:根据以上研究,通过吲哚氰绿内界膜染色剥除内界膜可促进特发性黄斑裂孔解剖复位及视力的提高.在此方面进一步的研究是必要的.
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