The Influence Of Chinese Medicine To The Recovery Of Vision Function After Rhegmatogenous Retinal Detachment Surgery

Object: To discuss the influence of Chinese medicine which were used to promotingblood circulation and diuresis on the sight recovery of patients undergoing retinaldetachment surgery by analyzing the relationship among postoperative vision functionand blood flow of retinal and optic nerve head,macular images 1 week and 1 month aftertheir surgery. Optical coherence tomography (OCT) and heidelberg retinal flowmeter(HRF) were used to mensurate the structure of macular and the blood flow of retinal andoptic nerve head.Method: 29 patients with 30 retinal detachment(RD)eyes who accept RD surgery(scleral buckling (SB) surgery or vitreoretianl (VR) surgery) in Jiangshu provincialhospital of TCM were accept in this study. Divided them into two groups: Chinesemedicine group (group 1 within 15 patients) and control group (group 2 within 14patients).each group was treated normally by modern medicine, while Group 1 addChinese medicine: the modified Taohong siwu and wuling decoction. Observe bestcorrected vision, blood flow of retinal (mensurate the blood flow volume (VOL),bloodflow velocity (FLW) and the erythrocyte flow velocity(VEL) of the papillary vessel,temporal and nasal papillary disk rim, temporal and nasal juxtapapillary retinal), macularimages taken by OCT (record the thickness of central fovea of macula, average thicknessof 5mm scope around macular fovea centralis of retinal neuroepithelial layer, height ofretinal neuroepithelial layer detachment) 1 week and 1 month after their RD surgery.Undertake statistical analysis.Result: Best corrected vision Comparison: group 1 has significant differencebetween Preoperative and 1 week after surgery, while group 2 hasn't, the two groupshaven't significant differences 1 week after surgery, both of the groups have significantdifference between Preoperative and 1 month after surgery. Visions 1 month after surgeryare better. There's significant difference between the two groups. Vision of group 1 isbetter.OCT comparison: data comparison between 1 week and 1 day after surgery, both groups' thickness of central fovea of macula, average thickness of retinal neuroepitheliallayer, height of retinal neuroepithelial layer detachment reduced, there're significantdifference. 1 week after surgery, the height of retinal neuroepithelial layer detachment ofgroup 1 are less than that of group 2. there're significant difference, data comparisonbetween 1 month and 1 week after surgery, both groups' thickness of central fovea ofmacula, average thickness of retinal neuroepithelial layer, height of retinal euroepitheliallayer detachment reduced, there're significant difference. 1 month after surgery, theheight of retinal neuroepithelial layer detachment of group 1 are less than that of group 2.there're significant difference.HRF comparison: group 1's data are all reduced except the VOL of temporalpapillary disk rim. Among them, the difference between the VOL, FLW, VEL of thepapillary vessel, the temporal papillary disk rim and temporal retinal, the VOL and FLWof nasal juxtapapillary are significant, group 2's data are all reduced. The difference areall significant except that between the VOL of nasal papillary disk rim. 1 week aftersurgery, the HRF data of group 1 are all higher than that of group 2. the difference wasnot significant except the VEL of the temporal papillary disk rim. 1 month after surgery,all data of group 1 are higher than that before surgery. The difference was significant. Thedifference of group 2 wasn't significant. 1 month after surgery, the data of group 1 are allhigher than that of group 2. the difference was significant.Relationship: 1 week after surgery, the best corrected vision had relationship withthe height of retinal neuroepithelial layer detachment. 1 month after surgery, the bestcorrected vision had relationship with the height of retinal neuroepithelial layerdetachment, the VEL of temporal and nasal papillary disk rim.Conclusion: the modified Taohong siwu and wuling decoction can promote theabsorption of residual fluid under-retinal, improve the blood supply of retinal and thevision recovery after retinal detachment surgery. The improving of blood supply wasespecially significant. Optical coherence tomography and heidelberg retinal flowmetercan supply objective data as the reference to judge the recovery of vision function andprognosis for patients after retinal detachment surgery...