摘要目的 探讨应用25G系统玻璃体切除术联合内界膜剥离治疗特发性黄斑孔的手术效果.方法 对10例(10眼)特发性黄斑孔行25G系统玻璃体切除术联合内界膜剥离,气液交换,眼内充填C3F8.术后观察视力,并进行OCT检查了解黄斑孔封闭情况.结果 10例(10眼)黄斑孔均闭合.随访1~6个月,2眼视力未提高,8眼视力提高1~3行,10眼均未见复发.结论 玻璃体切除术联合内界膜剥离治疗特发性黄斑孔是有效的;25GTSV应用于黄斑孔的手术治疗具有手术时间短、创伤小及术后恢复快等优点.

abstractsObjective To evaluate the therapeutic effect of 25-gauge transconjunctival sutureless vitrectomy with internal limiting membrane(ILM) peeling in treating idiopathic macular hole(IMH). Methods Ten eyes of ten patients with idiopathic macular hole under went 25-gauge TSV combined with internal limiting membrane peeling,air-fluid exchange and C3F8 tamponade.Optical coherence tomography(OCT) and the assessment of best-correted visual acuity (BCVA) were performed. Results IMH were completely closed in all 10 eyes. After a month of postoperation ,two cases had no vision improvement and eight cases got postoperative vision improvement by 1-3 lines. No eye was observed reopening macular hole during the follow up 1-6mo . Conclusion Vitretomy with ILM peeling is an effective treatment for IMH.The treatment of IMH by using 25G-TSV has many advantages ,such as operation time,micro invasing and rapid recovery. It was worthy to be popularized.