目的:观察玻璃体切割术治疗不同类型眼底病的临床疗效。方法:回顾性分析玻璃体切割术治疗91例96眼不同类型眼底病患者的临床资料,其中增殖期糖尿病视网膜病变患者54例59眼,合并高血压病患者21例;单纯高血压性视网膜病变患者8例8眼;单纯视网膜脱离患者17例17眼;其他原因如外伤、增殖性玻璃体视网膜病变等患者12例12眼,总结患者术后视力恢复不良的原因。结果:术后随访1～6mo,术后71眼(71/96)视力均较术前有不同程度的提高,其中视力由术前光感、手动及数指提高到术后0.1以上者18眼(18/96),提高到术后0.02～<0.1者9眼(9/96),术后视力较术前无明显改善20眼(20/96),术后视力较术前下降5眼(5/96)。结论:玻璃体切割术治疗不同类型眼底病疗效明显,可使大多数患者视功能改善,并发症少,手术安全有效。

AIM:To observe the clinical efficacy of different types of fundus disease with vitrectomy.METHODS:Clinical data of different types of fundus disease in 91 cases(96 eyes) with vitrectomy were analyzed retrospectively,in which fundus disease combined with proliferative diabetic retinopathy were 54 cases (59 eyes),with high intraocular pressure were 21 cases;purely high intraocular pressure retinopathy,8 cases (8 eyes);purely retinal detachment,17 cases (17 eyes);other reasons such as trauma,proliferative vitreoretinopathy,12 cases(12 eyes),and the reasons for poor visual recovery after surgery were summed up.RESULTS:All patients were followed up for 1 month to 6 months,the postoperative vision of 71 eyes in 96 eyes which was compared with preoperative vision improved to varying degrees,accounting for 74% of the total number of eyes (71/96),including the postoperative vision of 18 eyes improved from light perception,hand movement and finger counting to over 0.1,accounting for 19% of the total number of eyes (18/96);the postoperative vision of 9 eyes increased to over 0.02 but below 0.1,accounting for 9% of the total number of eyes (9/96);the postoperative vision was not improved in 20 eyes,accounting for 21% of the total number of eyes (20/96);the postoperative vision decreased in 5 eyes,accounting for 5% of the total number of eyes (5/96).CONCLUSION:Vitrectomy which treats different types of fundus disease is obviously effective and safe,which can improve visual function in most eyes and has fewer complications.

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