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The treatment of indocyanine-green-assisted internal limiting membrane peeling for idiopathic macular hole

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
Issue:
3
DOI:
10.3760/j.issn:1005-1015.2003.03.001
Key Word:
视网膜穿孔/外科手术;玻璃体切除术;吲哚花青绿/治疗应用

Abstract: 目的探讨玻璃体切割,吲哚青绿(indocyanine green,ICG)辅助视网膜内界膜剥离治疗特发性黄斑裂孔的手术疗效. 方法 31例患者 (31只眼)为3期(14只眼,占45.2%)和4期(17只眼,占54.8%)特发性黄斑裂孔,所有患者均行玻璃体切割术,玻璃体腔注入1.25 mg/ml ICG,剥离裂孔周围2~3个视盘直径的内界膜,手术结束时充填14%的C3F8混合气体,手术后患者俯卧位2周,手术后平均随访9.1个月. 结果 31例患者(31只眼)手术前视力中位数(M)是20/200.手术后最终随访28只眼解剖复位,21只眼视力提高2行以上,除1只眼因视网膜周边裂孔,视网膜脱离外,ICG辅助的内界膜剥离无明显并发症. 结论 ICG辅助视网膜内界膜剥离治疗3~4期特发性黄斑裂孔安全有效.

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