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首页> 外文期刊>Journal of Ophthalmology >Outcomes of Idiopathic Full-Thickness Macular Hole Surgery: Comparing Two Different ILM Peeling Sizes
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Outcomes of Idiopathic Full-Thickness Macular Hole Surgery: Comparing Two Different ILM Peeling Sizes

机译:特发性全厚黄斑手术的结果:比较两种不同的ILM剥离尺寸

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Purpose. This study aimed to show the impact of different extents of internal limiting membrane (ILM) peeling on visual and anatomical outcomes following idiopathic full-thickness macular hole (FTMH) surgery. Methods. In this single-center prospective study, patients with idiopathic FTMH underwent standard pars plana vitrectomy with two different extents of ILM peeling: 2-disc diameters (DD) or 4 DD. The main outcome measures were the closure rate of the holes based on optical coherence tomography (OCT) findings at three months after surgery. Results. Forty eyes from 39 patients were enrolled in the study. After three months, anatomical closure was achieved in 78% and 76% eyes in 2 DD peel and 4 DD peel groups, respectively. From 29 eyes with macular hole index (MHI)?≤?0.5, type 1 closure was achieved in 42% eyes receiving a 2 DD ILM peel, compared to 66% eyes receiving a 4 DD peel p=0.041. In comparison, this significant difference was not seen in the subgroup of MHI??0.5 p=061. In the subgroup of subjects with baseline MHI?≤?0.5, visual improvement was significantly more in eyes with 4 DD ILM peeling p=0.034, which was not seen in the MHI??0.5 subgroup p=0.61. Conclusion. In patients with idiopathic full‐thickness macular hole (MHI?≤?0.5), a larger ILM peel of 4 DD appears to yield better anatomical outcomes than a more limited 2 DD peel.
机译:目的。本研究旨在展示内部限制膜(ILM)剥离对特发性全厚黄斑(FTMH)手术后视觉和解剖结果的不同范围对视觉和解剖结果的影响。方法。在这种单中心前瞻性研究中,特发性FTMH的患者接受标准的标准PARA玻璃体切除术,其两种不同的ILM剥离范围:2碟直径(DD)或4 DD。主要结果措施是在手术后三个月的基于光学相干断层扫描(OCT)调查结果的孔的闭合速率。结果。 39名患者的四十只眼注册了研究。三个月后,分别在2个DD剥离和4个DD剥离基团中以78%和76%的眼睛达到解剖学闭合。从29只眼睛具有黄斑孔指数(MHI)?≤≤0.5,在接受2dd ILM剥离的42%眼睛中达到1型闭合,相比,接受4dd剥离P = 0.041的66%眼睛。相比之下,在MHI的亚组中没有看到这种显着差异?0.5 p = 061。在基线MHI的受试者的子组中?≤≤0.5,眼睛的眼睛显着更多地具有4个DD ILM剥离P = 0.034,其在MHI中未看出?0.5亚组P = 0.61。结论。在特发性全厚的黄斑孔(MHI≤≤0.5)中,似乎4 DD的较大ILM剥离似乎产生比更有限的2个DD剥离更好的解剖结果。

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