Vitreomacular traction in diabetic retinopathy.

IF 2.1 3区医学 Q2 OPHTHALMOLOGY

Japanese Journal of Ophthalmology Pub Date : 2024-01-01 Epub Date: 2023-11-25 DOI:10.1007/s10384-023-01034-2

Yi-Ting Hsieh, Chung-May Yang

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引用次数: 0

Abstract

Purpose: Vitreomacular traction (VMT) has unique presentations in eyes with diabetic retinopathy (DR). This study aimed to investigate the characteristics and clinical course of VMT in DR.

Study design: A retrospective case series.

Methods: Thirty eyes from 30 patients with DR and concurrent VMT were retrospectively enrolled. Baseline and final best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) characteristics were reported. Linear regression models were used to analyze the correlating factors for visual outcome.

Results: Of the 30 eyes, a thickened posterior hyaloid membrane was noted in all cases and multi-layered traction from different directions in 14 eyes (46.7%). Twenty-one eyes (70%) had tractional macular retinoschisis, seven (23.3%) had foveal detachment, five (16.7%) had a lamellar macular hole, and three (10%) had a full-thickness macular hole, including two with macular hole retinal detachment. Three eyes had spontaneous release of the VMT within 3 months of observation. For the remaining 27 eyes receiving operations, the VMT, full-thickness macular hole, and serous foveal detachment all resolved postoperatively with residual macular schisis in 6 eyes (22.2%) only. None of the baseline OCT characteristics were associated with postoperative BCVA (P > .05).

Conclusions: VMT in DR had a thickened posterior hyaloid, and many of them had multi-layered traction and/or concurrent macular retinoschisis. Lamellar macular hole, full-thickness macular hole, or concurrent retinal detachment may also occur. Spontaneous resolution of VMT rarely occurred, and those who underwent operation for VMT had improved vision and macular structures with resolution of the macular hole and retinal detachment.

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玻璃体黄斑牵引治疗糖尿病视网膜病变。

目的:玻璃体黄斑牵引(VMT)在糖尿病视网膜病变(DR)中具有独特的表现。本研究旨在探讨dr中VMT的特点和临床病程。研究设计:回顾性病例系列。方法:回顾性分析30例DR合并VMT患者的30只眼。报告基线和最终最佳矫正视力(BCVA)和光学相干断层扫描(OCT)特征。采用线性回归模型分析影响视觉效果的相关因素。结果:30只眼均可见后透明体膜增厚，不同方向多层牵拉14只眼(46.7%)。牵拉性黄斑视网膜裂21例(70%)，中央凹脱离7例(23.3%)，板层性黄斑裂孔5例(16.7%)，全层性黄斑裂孔3例(10%)，其中黄斑裂孔性视网膜脱离2例(10%)。3只眼在观察3个月内VMT自发释放。其余27只眼术后VMT、全层黄斑孔洞、严重的中央凹脱离均消失，仅6只眼(22.2%)残留黄斑裂孔。基线OCT特征均与术后BCVA无关(P > 0.05)。结论:DR患者VMT后透明体增厚，多有多层牵拉和/或并发黄斑视网膜裂。也可能发生板层性黄斑孔、全层黄斑孔或并发性视网膜脱离。自发的VMT消退很少发生，而那些接受VMT手术的患者视力和黄斑结构得到改善，黄斑孔消退，视网膜脱离。

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来源期刊

Japanese Journal of Ophthalmology 医学-眼科学

CiteScore

4.80

自引率

8.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.