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題名:MACULAR ABNORMALITIES AND TREATMENT AFTER CLEAR CORNEA PHACOEMULSIFICATION--AN OPTICAL COHERENCE TOMOGRAPHY STUDY     (16點)
以光學同調斷層掃描研究白內障乳化術後黃斑部水腫及其它黃斑部病變之盛行率及治療成效
著者:Pin-fang Chen(陳品芳) ;Wei-Li Chen(陳偉勵) ;Chang-Hao Yang(楊長豪) ;Chung-May Yang(楊中美)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:cystoid macular edema ; optical coherence tomography ; phacoemulsification
刊名:中華民國眼科醫學會雜誌
卷期:48卷2期(2009.6)
頁碼:205-212
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:分析本院接受白內障乳化術患者併發囊狀 黃斑部水腫及發現其它既存性黃斑部病變之盛行率 及治療狀況。此研究運用眼部光學同調段斷層掃瞄 (OCT)作為診斷及紀錄眼底異常之工具 方法:收集自2005 年八月迄2006 年四月間七十 七例常規性白內障乳化術併人工水晶體植入患眼(共 六十三位患者) ,進行前瞻性研究分析。所有患者安 排於術後第一、三、六週進行OCT 造影,若發現病 患有囊狀黃斑部水腫則施予triamcinolone acetonide 懸浮液40月/1mL眼球筋膜下注射並持續每週以 OCT 追蹤,若水腫超過兩週未改善,則重覆施以藥 物注射治療。 結果:以OCT 造影顯示術後六週內囊狀黃斑部 水腫盛行率為5.2% (四例唐、眼) ,其中兩例於第一週 發現、一例於第三週發現、另一例於第六週發現。施 予triamcinolone 眼球筋膜下注射後,其中二例於注射 二週後復原,一例於三週後,另一例則於六週後康復 。此外,在本研究中亦發現7.8%(六例患眼)既存性 其它型黃斑部病變,如脈脂膜新生血管、高度近視相 關之黃斑部病變、黃斑部層板裂孔等。 結論:本研究,顯示5.2%進行超音波乳化術及人 工水晶體植入患眼術後六週內發生囊狀黃斑部水 腫,而施予Triamcinolone 眼球筋膜下注射可達良好 療效。然患者可能因各類既存性黃斑病變使術後視力 未達預期。依此研究之經驗,利用OCT 造影評估白 內障術後黃斑部病變之治療效果,乃一安全、可靠之 診斷工具。
Purpose: To determine the occurrence rate and prognosis of cystoid macular edema (CME) and to examine other forms of maculopathy after clear corneal phacoemulsification. Methods: A prospective study of 77 cases (63 patients) was conducted using optical coherence tomography (OCT) to document the macular abnormal. lities after clear corneal phacoemulsification and intraocular lens (IOL) implanttation done from August, 2005 to April, 2006 in NTUH. OCT was routinely performed in the 1 剖, 3rd , and 6th week postoperatively (post-OP); any macular abnormality was recorded. Patients diagnosed as CME received injection of posterior subtenon triamcinolone acetonide (PSTA) 40mg in 1.0ml suspension. Repeated injection was done if weekly OCT examination showed persistent edema longer than 2 weeks. Results: The occurrence rate of postoperative CME in 6 weeks was 5.2% (4 eyes) in our study. Two were detected in the 1st week and the other two in the 3rd week, and 6th week postoperatively. After PSTA, 2 eyes had CME resolved in two weeks, one in three weeks, and one in six weeks. Other forms of maculopathy including CNVM, myopic maculopathy and lamellar hole were noted in 7.8% (6 eyes) .. Conclusion: About 5% of the eyes developed OCT-confirmed CME within 6 weeks after phacoemulsification and IOL implantation in the study. Subtenon injection of triamcinolone was an effective treatment. Other forms of maculopathy may have existed before cataract surgery. OCT provides a safe and effective tool in the diagnosis and follow-up of maculopathies after cataract surgery


    

本卷期目次
中華民國眼科醫學會雜誌 48卷2期 (2009.6)
眼後房腫瘤的診斷與治療/ 陳祐瑲洪啟庭林思源蔡明霖
一種簡單的眼瞼下垂手術/ 吳鑑修
KERATOCONUS: DIAGNOSIS AND CONTACT LENS FITTING/ Chung-Ying HuangJiahn-Shing LeeChiun-Ho HouKen-Kuo Lin
THE RESULTS OF CATARACT SURGERY WITH TORIC INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH ASTIGMATISM/ Yun-Chuan ChenShih-Chun ChaoHung-Yu Lin
PRELIMINARY EXPERIENCE OF OCTYL-2-CYANOACRYLATE (DERMABOND) FOR EPIBLEPHARONCORRECTION IN TAIWAN CHILDREN/ Wei-Yi YehTzu-En WuCheng-Kuo Cheng
台灣地區精神分裂症病患立體感之初探/ 胡信傳蔡明霖曾冬勝高維聰陳南福呂慶祥洪啟庭
台灣一醫學中心青光眼門診病例型態及相關的眼球結構之分析/ 李金蓉藍郁文謝瑞玟
HALLERVORDEN-SPATZ SYNDROME PRESENTING AS BILATERAL OPTIC ATROPHY--A CASE REPORT/ I-Wen PanMuh-Chiou LinShwu-Jiuan Sheu
ORBITAL LIPOSARCOMA--A CASE REPORT/ Chih-Wei ShihChen-Tu WuHan-Min TsengShu-Lang Liao
ORBITAL CELLULITIS FOLLOWING HORDEOLUM IN AN IMMUNOCOMPROMISED PATIENT WITH DIABETES AND BREAST CANCER--A CASE REPORT/ Shwu-Huey LeeJack Yu-Shih LinKai WangSzu-Yuan LinShun-Ling Lin
ISOLATED TROCHLEAR NERVE PALSY ASSOCIATED WITH CAROTID-CAVERNOUS SINUS FISTULA: A CASE REPORT/ Fuh-Shiou ChuangChih-Ming LinI-Hung HseuYan-Kai FanSzu-Yuan Lin
FONSECAEA FUNGAL KERATITIS AFTER RADIAL KERATOTOMY--A CASE REPORT/ Wu-Ping LoChing-Liang KuoMing-Tse KuoPo-chiung Fang
CHRONIC POST-OPERATIVE ENDOPHTHALMITIS CAUSED BY AN UNUSUAL STRAIN--RHIZOBIUM RADIOBACTER/ Yi-Chun YangAn-Fei LiPei-Yu LinFenq-Lih Lee
MACULAR ABNORMALITIES AND TREATMENT AFTER CLEAR CORNEA PHACOEMULSIFICATION--AN OPTICAL COHERENCE TOMOGRAPHY STUDY/ Pin-fang ChenWei-Li ChenChang-Hao YangChung-May Yang
INCONTINENTIA PIGMENTI--A CASE REPORT/ Yu-Chou ChenChi-Wu Chang
ROSAI-DORFMAN DISEASE WITHINTRAOCULAR INVOLVEMENT/ Yi-Lin LiaoLing-Yuh Kao
疑頸部拔罐相關之中心視網膜動脈阻塞症/ 劉又綾黃峻峰羅綸謙陳珊霓
以淚腺腫瘤表現的羅塞-朵夫曼氏症--病例報告/ 蔡守恆高啟祥林智一
 
   
 
   

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