大学病院における黄斑前膜日帰り手術の手術合併症と短期成績

Short-term outcome and complications of day surgery for epiretinal membrane in a university hospital

要約　目的：特発性黄斑前膜に対する日帰り硝子体手術の成績と安全性の報告。対象と方法：2012年2月までの15か月間に当科で日帰り硝子体手術を行った黄斑前膜30例30眼を対象とした。男性7例，女性23例で，年齢は54～78歳，平均67歳である。これらの症例は，同期間内に硝子体手術を行った黄斑前膜全症例の50.8％に相当する。手術にはフローティングレンズまたは広角眼底観察システムを用い，25Gシステムで行った。結果：手術中の合併症はなく，術後合併症として一過性の低眼圧または高眼圧が3例にあった。広角眼底観察システムを使うことで，網膜裂孔の有無が容易に確認できた。結論：特発性黄斑前膜に対する日帰り硝子体手術は有効で安全であった。

Abstract.　Purpose：To report the short-term outcome and safety of day surgery for idiopathic epiretinal membrane. Cases and Method：This study was made on 30 eyes of 30 cases who received day surgery for epiretinal membrane during the past 15 months. The series comprised 7 males and 23 females. The age ranged from 54 to 78 years, average 67 years. These 30 eyes were part of 59 consecutive cases that received vitreous surgery for epiretinal membrane during the same period. Surgery was performed using a 25-gauge system with adjunct use of floating lens or wide-angle viewing system. Results：There was no intraoperative complication throughout. Transient ocular hypotension or hypertension developed after surgery in 3 cases. Use of wide-angle viewing system facilitated detection of retinal break during surgery. Conclusion：Day surgery was safe and effective for epiretinal membrane.