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dvdDiy扣件原住民教育困境OTA
   
   
   
     
   
 
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1
題名:LONG-TERM OUTCOME OF VITREOUS SURGERY FOR PROLIFERATIVE DIABETIC RETINOPATHY     (12點)
以玻璃體切除術治療增殖性糖尿病視網膜病變之長期結果
著者:Chih-Shun Wang(汪志舜) ;Feng-Lih Lee(李鳳利) ;Chia-Lee Lin(林嘉理) ;San-Chang Tsai(蔡三章) ;Po-kang Lin(林伯剛) ;Chang-Sue Yang(楊昌叔) ;Shih-Jen Chen(陳世真) ;Jorn-Hon Liu(劉榮宏)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:proliferative diabetic retinopathy ; vitreous surgery.
刊名:中華民國眼科醫學會雜誌
卷期:41卷2期(2002.6)
頁碼:129-134
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景:增殖性糖尿病視網膜病變為已開發國家 病人視力喪失主要原因之一。本篇研究回溯以玻璃 體手術治療增殖性糖尿病視網膜病變併發症之長期 視力預後及手術併發症。 方法:由1992 年1 月至1997 年12 月共收集 367 個病人, 436 隻因增殖性糖尿病視網膜病變併發 症而進行玻璃體切除術的眼睛。 結果:手術之適應症包括玻璃體出血(60.3%) , 玻璃體出血合併牽引性視網膜剝離(19.7%) ,牽引性 視網膜剝離(1 8.3%),合併裂孔性及牽引性視網膜剝 離(0.5%) ,及進行性纖維血管增生(1.1%)。術後最佳 矯正視力有63%的眼睛獲得進步, 6%維持不變, 31%變差。最後視力有46.6% 可達0.05 以上, 23 .4% 可達0.2 以上。最常見之手術中併發症為醫原性視 網膜裂孔(1 1. 1%) 。最常見之手術後併發症為復發性 玻璃體出血(23 .4%)。 結論:依本研究之結果,大多數患有增痘性糖 尿病視網膜病變併發症之病人均可經由玻璃體手術 得到有效治療。
Background. Proliferative diabetic retinopathy (PDR) is one of the most prevalent causes of blindness in developed countries. This retrospective study evaluated the long-term visual outcomes and complications of vitrectomy resulting from various PDR complications . Methods. A review of 436 eyes (367 patients) treated with pars plana vitrectomy for complications of PDR was conducted for the period of 1992 to 1997 at the Veterans General Hospital-Taipei. Results. Indications for surgery were: (1) vitreous hemorrhage, 263 eyes (60.3%); (2) vitreous hemorrhage and tractional retinal detachment, 86 eyes (19.7%); (3) tractional retinal detachment, 80 eyes (18.3%); (4) combined tractional and rhegmatogenous retinal detachment, 2 eyes (0.5%); (5) progresssive fibrovascular proliferation, 5 eyes (1.1 %). Best postoperative visual acuity was improved for 274 eyes (63%), unchanged for 27 eyes (6%), and worse for 135 eyes (31%). Postoperative results yielded 203 eyes (46.6%) that had final vision of 3/60 or better, and 102 eyes (23.4%) that had 6/30 or better. The most common intraoperative complication was iatrogenic retinal tear (11.1 %) while the most common postoperative complication was recurrent vitreous hemorrhage (23.4%). Conclusions. More than half of the cases with complications of proliferative diabetic retinopathy could be e仟ectively treated with vitreous surgery.


    

本卷期目次
中華民國眼科醫學會雜誌 41卷2期 (2002.6)
良性自發性眼瞼痙攣症(Benign Essential Blepharospasm)的臨床症狀與治療原則/ 高淑卿吳智為
原發性眼瞼痙攣之手術治療/ 馬俐
眼瞼痙攣症之針灸治療/ 許紋銘鍾傑
肉毒桿菌毒素A在眼科學的應用/ 蔡榮坤
眉毛下垂的矯正/ 廖述朗
VASCULAR ENDOTHELIAL GROWTH FACTOR AND B+D16ASIC FIBROBLAST GROWTH FACTOR LEVELS IN THE VITREOUS OF PATIENTS WITH PROLIFERATIVE DIABETIC RETINOPATHY/ Chung-Chieh TsaoJen-Shang HuaniJen-Yu HuangMuh-Shy Chen
LONG-TERM OUTCOME OF VITREOUS SURGERY FOR PROLIFERATIVE DIABETIC RETINOPATHY/ Chih-Shun WangFeng-Lih LeeChia-Lee LinSan-Chang TsaiPo-kang LinChang-Sue YangShih-Jen ChenJorn-Hon Liu
TEMPORARY ADHESIVE TAPE TARSORRHAPHY──A SIMPLE & EFFECTIVE ALTERNATIVE TO LID-SUTURE/ Youn-Shen BeeJiuun-Liang ChenNei-Wen KuoChiu-Ching HuangCheng-An Yang
PREOPERATIVE KERATOMETER VALUE AND AXIAL LENGTH IN CATARACTOUS EYES/ Chin-Pin ChungSheng-Yao Hsu
SURGICAL REMOVAL OF PERSISTENT PUPILLARY MEMBRANE WITH STEGMANN SCISSORS/ Hsuei-Yuh LuTing-Wen WangWei-Hsun WangChao-Chien Hu
使用Langham血流儀來測量高度近視患者搏動性眼內血流量/ 劉峻正洪啟庭孫千媚周秉義呂大文
雷射反光手術後對比敏感度之變化/ 劉芝安鄭惠川
汽車氣囊造成之眼底傷害/ 黃峻峰呂永堅蔡毓斌林誠文
HVPERVISCOSITY SYNDROME ASSOCIATED WITH BRANCH RETINAL VEIN OCCLUSION ── CASE REPORT/ Chun-Ju Lin, MDChong-Bin Tsai MDTsai-Yun Chen, MDChau-Yi Tan, MDKuo-Pin Chang, MD
FAMILIAL EXUDATIVE VITREORETINOPATHY ── REPORT OF TWO FAMILIES/ Ching-Hsin WuHsi-Kung KouSue-Ann Lin
ALLERGIC GRANULOMATOSIS AND ANGIITIS (CHURG-STRAUSS SYNDROME) WITH RETINAL HEMORRHAGE──A CASE REPORT/ Shang-Yi ChiangChang-Min LiangCheng-Jong Chang
急性後天性眼部弓漿蟲病──病例報告/ 潘世強梁巧盈蔡顯揚
眼窩海綿狀血管瘤──病例報告/ 丁武龍楊榮木許武田
河魨毒素引起之急性短暫視力喪失──病例報告/ 邱欣玲黃敏生黃峻峰陳大成阮棋文
青光眼雷射虹膜穿孔術後造成角膜內皮細胞失償/ 郭千能方博炯賴盈州林蓓雯蔡振嘉林秀芬鄧美琴郭千哲
 
   
 
   

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