富血小板血浆治疗原发性黄斑孔:病例系列

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
European Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-02-29 DOI:10.1177/11206721241234419
Guglielmo Parisi, Francesco Gelormini, Federico Ricardi, Enrico Borrelli, Francesca Parisi, Giuseppe Belluardo, Laura Azzaro, Paola Marolo, Sergio D'antico, Marika Salafia, Michele Reibaldi
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引用次数: 0

摘要

目的评估使用自体富血小板血浆(a-PRP)手术治疗原发性黄斑孔(MH)后的黄斑解剖和功能效果以及并发症发生率:纳入2019年1月1日至2021年8月31日期间连续接受玻璃体切除术并使用a-PRP治疗原发性MH的9例患者。分析了基于光谱域光学相干断层扫描(SD-OCT)的解剖结果和视力:结果:共纳入 9 名患者的 10 只假性角膜病变眼。结果:9 名患者的 10 只假性角膜病眼中,6 名患者为女性,3 名患者为男性。平均年龄为 69.9 岁 ± 1.48 岁。基线 MH 最小直径为 486.1 μm ± 37.1,术前平均最佳矫正视力(BCVA)为 0.91 ± 0.03 logMAR(斯奈伦等效 20/160)。术后 1 个月的平均最佳矫正视力(BCVA)为 0.81 ± 0.57 logMAR(斯奈伦视力表等值 20/130;p = 1.000);术后 3 个月的平均最佳矫正视力(BCVA)为 0.66 ± 0.04 logMAR(斯奈伦视力表等值 20/90;p = 0.006);术后 6 个月的平均最佳矫正视力(BCVA)为 0.6 ± 0.04 logMAR(斯奈伦视力表等值 20/80;p 结论:使用a-PRP是一种成功且有前景的玻璃体视网膜手术技术,可用于原发性MH。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Platelet rich plasma for primary macular hole: A case series.

Objective: To evaluate the anatomical and functional macular results and rate of complications following surgical treatment of primary macular hole (MH) with autologous platelet rich plasma (a-PRP) use.

Design: retrospective, interventional, non-randomized case series.

Partecipants and methods: A cohort of 9 consecutive patients from January 1, 2019 to August 31, 2021 who underwent vitrectomy with a-PRP use for primary MH were included. Anatomical results based on spectral domain- optical coherence tomography (SD-OCT) and visual acuity were analyzed.

Results: 10 pseudophakic eye of 9 patients were enrolled. Six patients were female and three patients were male. The mean age was 69.9 years ± 1.48. The baseline MH minimum diameter was 486.1 μm ± 37.1, and mean pre operative best-corrected visual acuity (BCVA) was 0.91 ± 0.03 logMAR (Snellen equivalent 20/160). Mean 1 month post operative BCVA was 0.81 ± 0.57 logMAR (Snellen equivalent 20/130; p = 1.000); mean 3 month post operative BCVA was 0.66 ± 0.04 logMAR (Snellen equivalent 20/90; p = 0.006); mean 6 month post operative BCVA was 0.6 ± 0.04 logMAR (Snellen equivalent 20/80; p < 0.001). In all eyes, 10/10 (100%), there was a complete MH closure at 6 months follow up: 5 eyes (50%) with a U-type closure pattern, 4 eyes (40%) with a V-type pattern and 1 eye (10%) with an irregular foveal contour closure at 6 month follow-up. No ocular and systemic complications were reported.

Conclusion: The a-PRP use is a successful and promising vitreoretinal surgical technique option for primary MH.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
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