中药在特发性黄斑前膜术后恢复期的应用体会
Experience in the Application of Traditional Chinese Medicine in the Recovery Period of Idiopathic Macular Membrane Surgery
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北京中医药大学东方医院眼科,北京 100078
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夏燕婷,韦企平.中药在特发性黄斑前膜术后恢复期的应用体会[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791215&Fpath=home&index=0&lang=zh
XIA YanTing,WEI Qiping.Experience in the Application of Traditional Chinese Medicine in the Recovery Period of Idiopathic Macular Membrane Surgery[J].,
夏燕婷,韦企平.中药在特发性黄斑前膜术后恢复期的应用体会[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791215&Fpath=home&index=0&lang=zh DOI:
XIA YanTing,WEI Qiping.Experience in the Application of Traditional Chinese Medicine in the Recovery Period of Idiopathic Macular Membrane Surgery[J]., DOI:.
病史摘要,2,患者张某,女,67岁,因“右眼视力下降伴视物变形5年”于 2022年4月20日来我科就诊,查眼科检查:视力:右:0.05矫正0.08,左:0.6。双前节(-),瞳孔圆,晶体轻混。眼底:右黄斑前膜伴结构紊乱。眼压:右11.0 mmHg,左13.5 mmHg。OCT:右黄斑前膜伴水肿。既往史:高血压病史。中医诊断 视瞻昏渺,痰瘀互结证。西医诊断 右眼特发性黄斑前膜。干预措施 右眼PPV+PHACO+IOL+黄斑前膜剥除术。中药每日一剂,早期以疏风清热,养血活血为法, 中期以健脾利湿,养血活血化瘀为法,后期以健脾利湿,养血补肾为法。疗效转归 右眼视物变形消失,视力提高,黄斑结构好转。
Summary of case history ,A 67-year-old female came to the outpatient department of our hospital complaining for blurred vision in the right eye for 5 years. Upon examination, her best corrected visual acuity (BCVA) was 0.08 in the right eye and 0.6 in the left eye. Intraocular pressure (IOP) was 11.0 mmHg in the right eye and 13.5 mmHg in the left eye. Anterior segment examination of both eyes was unremarkable. Color fundus photography showed macular membrane with structural disorder in right eye . OCT showed macular membrane with macular edema in right eye.,TCM diagnosis, blurred vision;phlegm and blood stasis,Western medicine diagnosis, idiopathic macular membrane,Therapeutic medthods, PPV+PHACO+IOL+macular membrane peeling surgery in the right eye. Traditional Chinese medicine takes one dose per day. In the early stage, it is used to expel wind and heat, nourish blood and promote blood circulation. In the middle stage, it is used to strengthen the spleen and promote dampness, nourish blood and promote blood circulation to dissipate stasis. In the later stage, it is used to strengthen the spleen and promote dampness, nourish blood and tonify the kidney.,Clinical outcomes, The deformation of the visual object in the right eye disappears, visual acuity improves, and the macular structure improves.
特发性黄斑前膜黄斑水肿中西医结合治疗。
idiopathic macular membranemacular edemaintegrated traditional Chinese and western medicine treatmentocular fundus disease
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