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1、23G玻璃体切割联合内界膜剥离治疗高度近视性黄斑劈裂的疗效许立帅杨小丽(通讯作者)兰长骏(川北医学院附属医院眼科四川南充637000)【摘要】R的：评估23G玻璃体切割(PPV)联合
2、Aj界膜剥离(ILMP)及长效气体眼内填充治疗高度近视性黄斑劈裂(HMF)的疗效。方法：收集我院行23GPPV联合ILMP及长效气体眼内填充治疗HMF患者28例(36眼｝，术后随访6个月，行视力、OCT及mfERG等检查，并进行统计学分析。结果：患考术后视力较术前均有提高,差异具有统计学意义(P<0.05)ACT提示32眼黄斑区解剖结构恢复，4眼好转。mf
3、ERG提示术后6个月时，1环P1波潜伏期较术前缩短,P1波振幅密度提高(P<0.05),mfERG的三维地形图的屮央峰逐渐恢复，旁屮心凹区域不规则低反应区减少或消失。结论：23GPPV联合ILMP及长效气体眼内填充治疗HMF安全有效。【关键词】玻璃体切割高度近视黄斑劈裂内界膜剥离【中图分类号】R77【文献标识码】A【文章编号】2095-1752(2014)15-0314-02Efficacyof23GvitrectomyintreatmentoffoveoschisisinhighmyopiceyesLi-shuaiXu,Xiao-li
4、Yang,Chang-junLanDepartmentofOphthalmology,AffiliatedHospitalofNorthSichuanMedicalCollge,Nanchong,Sichuan637000，P.R.China[Abstract]Objective:Toevaluatetheefficacyof23Gparsplanavitrectomy(PPV)withinternallimitingmembranepeeling(ILMP)associatedwithgastamponadeineyeswithhighmy
5、opicfoveoschisis.METHODS:36eyesof28highlymyopicpatientswithfoveoschisiswhounderwentPPVcombine!withILMPassociatedwithgastamponadeinourhospitalwerecollected.Visualacuity,mfERG,andOCTwereexaminedprcoperativelyandpostoperatively.Theresultswereanalyzedstatisticallyandcompared.RE
6、SULTS:Forfollow-uptimesofsixmonths,BCVAofallpatientsimprovedaftertreatment.TherewerestatisticallysignificantdifferencesbetweenbeforetreatmentandaftertreatmentinBCVA(P<0.05).OCT:Thefoveoschisiscompletelyresolvedin32eyesandpartiallyresolvedintheremaining4eyes.mfERG:6months
7、postoperatively,incubationperiodofwavePIofring1wasshorterthanpreoperatively,theresponsedensitiesofwavePlofring1gothigherpostoperatively(P<0.05),thecentralpeaksofmfERGtopographiesreappearedlittlebylittleduring6monthsafterthesurgery,alsotheirregularlowreactionregionsinthep
8、arafovealareaweredecreasedgraduallyordisappeared.CONCLUSION:23GPPVcombindwithILMPassociatedwithgastamponadeisasafeandeffectivesurgicaltreatmentforhighmyopicfoveoschisis.【Keywords】vitrectomyhighymyopiafoveoschisisinternallimitingmembranepeeling高度近视性黄斑劈裂(highmyopicfoveoschisi
9、s,HMF)是高度近视(highmyopic,HM)的常见并发症，也是导致患者视力下降和视物变形的的主要原因［1］。黄斑劈裂手术时机和疗效，是0前关注热点。23G经
