| Objective To explorer the efficiency and the safety ofmicro-invasive vitrectomy surgery in the treatment of vitreoretinaldiseases.Methods A retrospective and interventional case series wasconsecutively performed for96eyes of the96patients that were a part ofthis study. Clinical datas were reviewed retrospectively regarding thepreoperative and postoperative intraocular pressure, visual acuity，complications during the period between July2012and December2013Result(1)There are96cases in this study，including52males and44females.The indications include vitreous hemorrhage(n=29)，rhegmatogenous retinal detachmen（tn=38），epiretinal membrane（n=7）,macular hole(n=6), diabetic retinopathy（n=16）.(2) All surgeries were completed successfully.There are18eyesfilled with silicone oil and30eyes filled with gas.(3) The last best-corrected visual acuity (BCVA) was significantlybetter than the preoperative BCVA in all patient groups (p＜0.05) exceptdiabetic retinopathy group.(4) On the first day after surgery, four patients had an IOP＜6mmHg.，68patients had an IOP in6mmHg~21mmHg，20patients hadan IOP in21mmHg~30mmHg,2patients had an IOP＞ 30mmHg..Preoperative and postoperative IOP was no statisticaldifference (P>0.05).(5)During the surgery，38patients (39.6%) occurred incision leakage(at least one notch),and required sutures. In all of the cases whichrequired sutures, there were19(50.0%) cases filled with fluid, C3F8have7(18.4%)cases filled with gas,12(31.6%)cases filled with siliconeoil.No serious complications such as endophthalmitis or retinaldetachment were observed in either group.Conclusion(1) The micro-invasive vitrectomy surgery technique is effective inthe treatment of vitreous retinal diseases,which has fewer complications.(2)To master the techniques of the minimally invasive operationvitrectomy exactly and adeptly could improve the successful rate andreduce the incidence of complications.(3) Surgeons should choose the surgery technique rationally basedon indications. |
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