ECCENTRIC MACULAR HOLES AS A POSTOPERATIVE COMPLICATION OF MACULAR SURGERY IN BLACK AFRICANS.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-03-01 DOI:10.1097/IAE.0000000000004318

Sylvain El-Khoury, Youssef Abdelmassih, Livin Uwemeye, Theophile Tuyisabe, Michael Mikhail

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引用次数: 0

Abstract

Purpose: The objective of this study is to report on the incidence and the characteristics of eccentric macular holes as a complication of macular surgery with internal limiting membrane peeling in a black African population.

Methods: This is a retrospective consecutive case series. Files of 125 patients who received macular surgery were reviewed, and 14 eyes of 14 patients were included in this study. Intervention consisted of pars plana vitrectomy with internal limiting membrane peeling for a full-thickness macular hole or epiretinal membrane. The main outcome measures were the development of eccentric macular holes, their characteristics (location, number), and best-corrected visual acuity.

Results: Eccentric macular holes developed in 14 eyes of 14 patients with a mean age of 64.5 ± 9.4 years and a female predominance of 64%. The incidence of eccentric macular holes was 11.2%. Eccentric macular holes developed on average 4.4 ± 1.2 weeks after surgery. In 9 eyes (65%) location was temporal, in 3 eyes (21%) superotemporal, and in 2 eyes (14%) inferotemporal. Multiple holes were observed in 12 eyes (86%), and 5 eyes (35%) had confluent holes. Nine eyes (64%) had only full-thickness holes, 4 eyes (29%) had both full-thickness and lamellar holes, and 1 eye (7%) had only lamellar holes. Best-corrected visual acuity improved from 1.1 ± 0.33 logMAR to 0.89 ± 0.26 logMAR ( P = 0.017).

Conclusion: Eccentric macular hole formation showed a very high incidence in our setting and represents a main complication for macular surgery. In all cases, eccentric macular holes were formed in the temporal macula, and in most cases, they were multiple and full-thickness.

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偏心黄斑孔是非洲黑人黄斑手术的术后并发症。

目的：本研究的目的是报告在非洲黑人群体中，黄斑内缘膜（ILM）剥离手术并发症--偏心黄斑孔（EMH）的发生率和特征：这是一个回顾性连续病例系列。方法：这是一项回顾性连续病例系列研究，研究人员回顾了125名接受黄斑手术的患者的档案，其中14名患者的14只眼睛被纳入本研究。干预措施包括针对全厚黄斑孔或视网膜外膜进行玻璃体旁切除术和ILM剥离术。主要结果指标为EMH的发生、特征（位置、数量）和最佳矫正视力（BCVA）：14名患者的14只眼睛出现了EMH，平均年龄为（64.5±9.4）岁，女性占64%。EMH的发病率为11.2%。EMH平均在术后4.4±1.2周出现。9只眼睛（65%）的EMH发生在颞部，3只眼睛（21%）发生在颞上部，2只眼睛（14%）发生在颞下部。12 只眼睛（86%）出现多孔，5 只眼睛（35%）出现汇合孔。9只眼睛（64%）只有全厚孔，4只眼睛（29%）既有全厚孔又有板层孔，1只眼睛（7%）只有板层孔。BCVA从1.1±0.33logMAR提高到0.89±0.26logMAR（P=0.017）：结论：在我们的病例中，EMH的形成率非常高，是黄斑手术的主要并发症之一。在所有病例中，EMH均在颞部黄斑形成，且大多数病例为多发和全厚。

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

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.