Macular Holes in Tractional Retinal Detachments Secondary to Diabetic Retinopathy

IF 0.5 Q4 OPHTHALMOLOGY

Journal of VitreoRetinal Diseases Pub Date : 2024-03-19 DOI:10.1177/24741264241239753

Neha Sharma, Christian Akotoye, Scott W. Perkins, Resya Sastry, Anna K. Wu, Rishi P. Singh, Alan J. Franklin, Aleksandra Rachitskaya

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引用次数: 0

Abstract

Purpose: To characterize the visual outcomes and rate of macular hole (MH) closure with tractional retinal detachment (TRD) and proliferative diabetic retinopathy (PDR). Methods: Visit data of patients who had pars plana vitrectomy were retrospectively reviewed; patient demographics, other procedure(s), the MH closure rate, and visual outcomes were also collected. Paired t, Fisher exact, and Mann-Whitney U tests were performed. Results: Ten patients (10 eyes) developed a TRD MH; 3 distinct MH presentations were identified. At the 3-month follow-up, 90% of MHs remained closed without the need for further reoperation (n = 6, type 1 closure; n = 3, type 2 closure). All MHs were closed 12 months after the initial surgery, with 1 eye requiring a single reoperation. The mean visual acuity (VA) at baseline and at 12 months was 20/235 and 20/138, respectively. Conclusions: MHs in the setting of fibrovascular proliferation resulting from PDR present with varied morphology. There is a high rate of MH closure and a trend toward improved VA.

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继发于糖尿病视网膜病变的牵拉性视网膜脱离中的黄斑孔

目的：描述牵引性视网膜脱离（TRD）和增殖性糖尿病视网膜病变（PDR）的视觉效果和黄斑孔（MH）闭合率。方法：回顾性审查接受玻璃体旁切除术的患者的就诊数据；同时收集患者的人口统计学资料、其他手术、黄斑孔闭合率和视觉结果。进行了配对 t 检验、费雪精确检验和曼-惠特尼 U 检验。结果10名患者（10只眼睛）出现了TRD MH；确定了3种不同的MH表现。随访3个月时，90%的MH仍然闭合，无需再次手术（n = 6，1型闭合；n = 3，2型闭合）。所有 MH 均在初次手术后 12 个月闭合，其中一只眼需要再次手术。基线和 12 个月时的平均视力（VA）分别为 20/235 和 20/138。结论：PDR导致的纤维血管增生引起的MH形态各异。MH的闭合率很高，视力有改善的趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of VitreoRetinal Diseases

CiteScore

1.20

自引率

16.70%

发文量