目的：观察23 G 微创玻璃体切割术治疗特发性黄斑裂孔的临床效果。 方法：选取2013-01/10在我院采用23 G 玻璃体切割系统治疗特发性黄斑裂孔患者28例28眼,进行回顾性研究。对患者进行3~12 mo的术后随访观察,进行疗效评价与分析。 结果：23 G微创玻璃体切割术治疗特发性黄斑裂孔28眼,27眼黄斑裂孔愈合,1眼未愈合。术后1,3 mo矫正视力较术前有显著提高(χ²=8.65, P=0.003；χ²=10.33, P=0-001)。光学相干断层扫描( optical coherence tomography,OCT)提示黄斑区裂孔封闭。术中切口缝合5例(18%)。术后眼压与术前相比差异无统计学意义。术后未发生眼内炎、视网膜脱离、玻璃体出血等并发症。 结论：23 G微创玻璃体切割术是治疗特发性黄斑裂孔的一种安全有效的方法,对于简单的黄斑区手术考虑首选23 G微创玻璃体切割术。%AIM:To observe the clinical effects of 23-gauge (23G) transconjunctival sutureless vitrectomy for idiopathic macular hole. METHODS: In this retrospective study, 28 eyes of 28 consecutive patients who underwent 23 - gauge transconjunctival sutureless vitrectomy for idiopathic macular hole between January 2013 and October 2013 in our hospital were evaluated. The follow-up time was 3-12mo. The operation effects were analyzed. RESULTS:The macular hole was closed in 27 eyes of 28 eyes which underwent 23G transconjunctival sutureless vitrectomy and not closed in 1 eye after surgery. Best-corrected visual acuity at postoperative 1, 3mo was significantly improved compared to pre-operation (χ²=8-65, P=0. 003;χ²=10. 33, P=0. 001). The macular hole was closed as shown by OCT. Intraoperative incision was sutured in 5 cases ( 18%) . There was no statistically significant difference in intraocular pressure between pre-operation and post - operation. No post - operative complications such as endophthalmitis, retinal detachment, vitreous hemorrhage came up. CONCLUSION: 23G transconjunctival sutureless vitrectomy is observed to be safe and effective technique in the treatment of macular hole. It is therefore our preferred system for straightforward macular surgery.
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