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Vitrectomy with internal limiting membrane peeling vs no peeling for Macular Hole-induced Retinal Detachment (MHRD): a meta-analysis

机译:玻璃体切除术内部限制膜剥离与不剥离黄斑裂孔性视网膜脱离(MHRD)的荟萃分析

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we conducted our meta-analysis of published studies to assess existing evidence about the efficacy and safety of vitrectomy with ILM peeling vs. that of vitrectomy with no ILM peeling for Macular hole-induced retinal detachment. Databases, including Pubmed, Cochrane Library, Ovid, Web of Science, Wanfang and CNKI, were searched to identify studies comparing outcomes following vitrectomy with ILM peeling and that with no ILM peeling for macular hole-induced retinal detachment. The meta-analysis was performed by RevMan 5.1. Six comparative studies comprising 180 eyes were identified. It was indicated that the rate of retinal reattachment (Odds ratio (OR)?=?3.03, 95?% Confidence interval (CI):1.35 to 6.78; P?=?0.007) and macular hole closure (OR?=?6.74, 95?% CI:3.26 to 13.93; P?
机译:我们对已发表的研究进行了荟萃分析,以评估现有证据证明黄斑裂孔性视网膜脱离与ILM剥离玻璃体切除术与无ILM剥离玻璃体切除术的有效性和安全性。搜索包括Pubmed,Cochrane图书馆,Ovid,Web of Science,Wanfang和CNKI在内的数据库,以鉴定比较玻璃体切除联合ILM剥离与不联合ILM剥离治疗黄斑裂孔性视网膜脱离的疗效的研究。荟萃分析由RevMan 5.1进行。确定了六项包括180只眼睛的比较研究。结果表明,视网膜复位的发生率(比值比(OR)== 3.03,95%的置信区间(CI):1.35至6.78; P <= 0.007)和黄斑裂孔闭合(OR == 6.74,初次手术后95%CI:3.26至13.93; P 0.001)较高,复发性视网膜脱离的发生率(OR = 0.08,95%CI:0.02至0.30; P = 0.0002)有ILM剥离的玻璃体切除术组比没有ILM剥离的玻璃体切除术组低。然而,两组之间的BCVA改善(加权平均差异(WMD)?=?0.14,95 %% CI:?0.20至0.47; P?=?0.42)和术后并发症发生率相似。玻璃体切除术结合内部限制膜剥离是一种有效且安全的方法,可用于治疗黄斑裂孔引起的视网膜脱离。

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