Results and prognostic factors in vitrectomy for diabetic traction retinal detachment of the macula.
Results and prognostic factors in vitrectomy for diabetic traction retinal detachment of the macula.
复制标题
玻璃体切除术治疗糖尿病牵引性黄斑视网膜脱离的结果和预后因素。
DOI：
10.1001/archopht.1987.01060040067035
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发表时间：
1987
影响因子：
--
通讯作者：
T. Rice
中科院分区：
文献类型：
--
作者：
John T. Thompson;S. D. Bustros;R. Michels;T. Rice
分析了360眼因糖尿病性黄斑牵引性视网膜脱离行平坦部玻璃体切除术的患者的最终视力结果水平和预测视力水平的预后因素。59%的眼睛在最终检查时视力有所改善。研究期间，最终视力达到20/100或更好的患眼百分比和达到5/200或更好的患眼百分比分别从21%增加到36%和从57%增加到72%。与良好视力预后相关的术前因素是视力5/200或更好，没有虹膜新生血管，透明的晶体透镜或只有轻微的白内障形成，透明的介质或只有轻度玻璃体出血，全视网膜光凝至少四分之一的视网膜，和没有严重的术前视网膜新生血管。与良好的视力预后相关的术中因素包括避免进行晶状体切除术、不存在医源性视网膜裂孔以及避免使用眼内气泡。
The level of final visual acuity results and the prognostic factors predictive of the level were analyzed in 360 eyes that had pars plana vitrectomy for diabetic traction retinal detachment of the macula. Fifty-nine percent of the eyes had improved visual acuity on final examination. The percentage of eyes that achieved a final visual acuity of 20/100 or better and the percentage that achieved 5/200 or better increased from 21% to 36% and from 57% to 72%, respectively, during the study. Preoperative factors associated with a favorable visual prognosis were a visual acuity of 5/200 or better, the absence of iris neovascularization, a clear crystalline lens or only minimal cataract formation, clear media or only mild vitreous hemorrhage, panretinal photocoagulation of at least one fourth of the retina, and the absence of severe preoperative retinal neovascularization. Intraoperative factors associated with a favorable visual prognosis include the avoidance of performing a lensectomy, the absence of iatrogenic retinal breaks, and the avoidance of using intraocular gas bubbles.