| 摘要: |
| ［摘要］ 目的 观察光学相干断层扫描（OCT）在不同屈光度组累及黄斑的裂孔源性视网膜脱离的患者巩膜扣带术后黄斑区持续视网膜下液（SMF）变化与视力预后的关系。方法 回顾性分析不同屈光状态的裂孔源性视网膜脱离患者50例（50眼），其中高度性近视组25例（25眼），正视组25例（25眼）。分别于术前、术后1周、术后12个月行最佳矫正视力、眼底检查和OCT检查,并进行统计学分析。结果 巩膜扣带术后出现持续SMF与高度近视有相关性；高度近视组SMF持续时间较正视组延迟，分别为（5.96±2.25）和（3.75±2.21）月，两组差异具有统计学意义（P<0.05）；两组间终末随访视力（Logmar）分别为（0.43±0.39）和（0.44±0.26），组间差异无统计学意义（P>0.05）。结论 高度近视有可能是巩膜扣带术后导致SMF的相关因素之一。解剖复位成功的患者其屈光状态与术后是否出现SMF都不影响手术终末视力的恢复。 |
| 关键词: 高度近视 黄斑区视网膜下液 巩膜扣带术 光学相干断层扫描 |
| DOI：10.3969/j.issn.1674-3806.2015.07.01 |
| 分类号:R 774 |
| 基金项目:广西医疗卫生重点科研课题（编号：重200815） |
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| The relationship between the changes of persistent submacular fluid and final visual outcomes in patients with macula-involving retinal detachment in different diopter eyes after scleral buckle surgery |
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SHEN Chao-lan, LI Min, LV Ming-liang, et al.
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Department of Ophthalmology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To study the relationship between the changes of persistent submacular fluid(SMF) and final vision outcomes in patients with macula-involving retinal detachment(RD) in different diopters after scleral buckling(SB) by using optical coherence tomography(OCT).Methods 50 eyes of 50 patients with macular-off RD were retrospectively analyzed, including 25 eyes in high myopia(HM) group and the other 25 eyes in emmetropes group. The best-corrected visual acuity(BCVA) measurement and OCT scan through the fovea were taken in all patients before and 1 week, 12 months after the surgery. Statistical analysis of the data was performed.Results There was correlation between HM and persistent SMF after SB. The persistent SMF sustained longer in the HM group (5.96±2.25)months than did those in the emmetropes group (3.75±2.21)months (P<0.05). There was no significant difference in the final visual acuity between the two groups.Conclusion HM seems to be related to persistent SMF after SB. HM may prolong the absorption time of SMF but not change the visual outcomes in the successful RD repair. |
| Key words: High myopia(HM) Submacular fluid(SMF) Scleral buckling(SB) Optical coherence tomography(OCT) |
