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題名 | 糖尿病增殖性視網膜病變接受玻璃體切除鞏膜扣箍及二極體泛視網膜光凝固術產生脈絡膜剝離或滲出性視網膜剝離=Choroidal Detachment and Exudative Retinal Detachment After Pars Plana Vitrectomy, Scleral Buckle and Diode Laser Panretinal Photocoagulation for Proliferative Diabetic Retinopathy |
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作者 | 林偉欣; 鄭成國; 盧雪玉; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 38:3 1999.09[民88.09] |
頁次 | 頁361-366 |
分類號 | 416.746 |
關鍵詞 | 視網膜病變; 脈絡膜剝離; 視網膜剝離; Choroidal detachment; Exudative retinal detachment; Endolaser photocoagulation; Proliferative diabetic retinopathy; Diode laser; |
語文 | 中文(Chinese) |
中文摘要 | 本篇報告使用玻璃體切除術,鞏膜扣箍術並於眼內施行二極體雷射泛視網膜光凝 固術治療糖尿病增殖性視網膜病變後,產生脈絡膜剝離及滲出性視網膜病變之臨床觀察經驗 。總共治療病例28位病人28隻眼睛,多數為牽引性視網膜剝離合併視網膜前纖維膜。結 果病患的年齡、性別、高血壓有無及手術時間長短與術後併發症發生機率無關。但手術中光 凝固術之雷射發數的多寡與術後脈絡膜剝離有關( P=0.04 ),且術前7日內接受泛視網膜 光凝固術,其術後產生脈絡膜剝離比例更高( P=0.02 )。術後眼壓劇烈變化也與脈絡膜剝 離或滲出性視網膜剝離有關( P=0.002 及 P =0.0004 )。 術後脈絡膜剝離出現於術後第 4.1天,持續9天,合併的滲出性視網膜剝離出現於術後第4.3天,持續5.2天,皆 為一過性的現象。 |
英文摘要 | A retrospective study of 28 consecutive patients with proliferative diabetic retinopathy that underwent pars plana vitrectomy, encircling scleral buckle and diode laser panretinal photocoagulation is presented. At our series, 11 patients suffered from choroidal detachment postoperatively. Six of the 11 choroidal detachment also combined with exudative retinal detachment. Age, Sex, laterality, presence of systemic hypertension, operation time were not associated with the complication. Postoperative choroidal detachment was associated with the number of laser application (P=0.04) and intraocular pressure change (P=0.002). Choroidal detachment was present 4 days after operation and had disappeared 13 days after operation. Exudative retinal detachment was present 4 days after operation and had disappeared 9 days after operation. Choroidal detachment and exudative retinal detachment are self-limited and resolve spontaneously. |
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