Effect of Lucentis assisted vitrectomy on ocular function in patients with proliferative diabetic retinopathy
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摘要: 目的 探讨雷珠单抗辅助玻璃体切割对增殖性糖尿病视网膜病变(PDR)患者眼功能的影响。 方法 将慈溪市人民医院2016年1月—2018年6月间收治的200例(271眼) PDR患者随机数字法分为对照组(100例,126眼)和观察组(100例,145眼)。对照组给予玻璃体切割,观察组在玻璃体切割前1周给予注射雷珠单抗。比较2组手术情况、视力、眼压、视网膜厚度、并发症等。通过统计学软件对数据进行分析,进而探讨雷珠单抗辅助玻璃体切割对增殖性糖尿病视网膜病变(PDR)患者眼功能的影响。 结果 观察组手术时间(71.8±11.4) min、电凝止血次数(1.14±0.53)次、视网膜裂孔率(5.51%)均明显低于对照组的手术时间(82.7±10.8) min、电凝止血次数(1.78±0.52)次、视网膜裂孔率(14.29%)。治疗后,2组眼压、视力明显改善,观察组优于对照组(均P<0.05)。观察组术后并发症发生率明显低于对照组(P<0.05)。患者并发症均经对症治疗后恢复。 结论 雷珠单抗辅助玻璃体切割可有效降低增殖性糖尿病视网膜病变患者手术时间、电凝止血次数、视网膜裂孔率,有效改善患者眼压及视力,并能减少术后并发症。Abstract: Objective To investigate the effect of Lucentis assisted vitrectomy on ocular function in patients with proliferative diabetic retinopathy (PDR). Methods A total of 200 patients (271 eyes) with PDR in our hospital from January 2016 to June 2018 were randomly divided into control group (100 cases, 126 eyes) and observation group (100 cases, 145 eyes). The control group was given vitrectomy, and the observation group was added Lucentis one week prior to vitrectomy. The surgical conditions, visual acuity, intraocular pressure, retinal thickness, and complications were compared between the two groups. The data were analyzed by statistical software to investigate the effect of Lucentis assisted vitrectomy on ocular function in patients with proliferative diabetic retinopathy (PDR). Results The operation time (71.8 ±11.4) min, the electrocoagulation hemostasis number (1.14 ±0.53) time, and the retinal tear rate (5.51%) of the observation group were significantly lower than those of the control group[(82.7 ±10.8) min, (1.78 ±0.52) times, 14.29%]. After treatment, the intraocular pressure and visual acuity of the two groups were significantly improved (P <0.05), and the observation group was superior to the control group (P < 0.05). The postoperative complications incidence of observation group was significantly lower than that of the control group (P < 0.05). The patient's complications were recovered after symptomatic treatment. Conclusion Lucentis assisted vitrectomy can effectively reduce the operation time, electrocoagulation number and retinal tear rate in patients with proliferative diabetic retinopathy, effectively improve intraocular pressure and visual acuity, and reduce postoperative complications.
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Key words:
- Diabetic retinopathy /
- Proliferative /
- Vitrectomy /
- Lucentis
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