高度近视眼黄斑手术中三维可视化系统与传统显微镜的手术效果和术中参数的前瞻性随机临床试验。

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-08-21 DOI:10.1097/IAE.0000000000004207

Mei-Chi Tsui, Yi-Ting Hsieh, Tso-Ting Lai, Cheng-Yung Lee, Yun Hsia, Shih-Wen Wang, I-Hsin Ma, Kuo-Chi Hung, Chang-Pin Lin, Chang-Hao Yang, Chung-May Yang, Tzyy-Chang Ho

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引用次数: 0

摘要

目的：研究三维可视系统治疗高度近视眼黄斑疾病的手术效果和术中参数：在这项单中心、前瞻性、随机、比较性干预研究中，40 只高度近视眼（轴向长度大于 26 毫米）被随机分配到 3D 可视化系统组或传统显微镜组。比较了手术结果和术中参数，包括吲哚青绿（ICG）注射次数、手术时间和视网膜外膜（ERM）/内缘膜（ILM）剥离时间：结果：与CM组相比，3D组所需ICG注射次数明显较少（1.3 ± 0.5对2.3 ± 0.7，p <0.001），ERM/ILM剥离时间较短（522.8 ± 258.0对751.8 ± 320.2秒，p <0.05），术中视网膜出血较少（0对7例，p <0.05）。两组的解剖和功能结果相当：结论：三维系统的ICG注射次数更少，ERM/ILM剥离时间更短，术中视网膜出血的发生率更低，这表明三维可视系统在高度近视眼的黄斑手术中可能具有优势。

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Surgical outcomes and intraoperative parameters of 3D visualization system versus conventional microscopes for macular surgery in highly myopic eyes, a prospective randomized clinical trial.

Purpose: To investigate the surgical outcomes and intraoperative parameters of 3D visualization system for macular diseases in highly myopic eyes.

Methods: In this single-center, prospective, randomized, comparative interventional study, 40 highly myopic eyes (axial length > 26mm) were randomly assigned to either a 3D visualization system or a conventional microscope (CM) group. Surgical outcomes and intraoperative parameters, including the number of indocyanine green (ICG) injections, surgical time, and epiretinal membrane (ERM)/ internal limiting membrane (ILM) peeling time, were compared.

Results: The 3D group required significantly fewer ICG injections (1.3 ± 0.5 vs. 2.3 ± 0.7, p < 0.001), had shorter ERM/ILM peeling times (522.8 ± 258.0 vs. 751.8 ± 320.2 sec, p < 0.05), and experienced fewer intraoperative retinal hemorrhages (0 vs. 7 cases, p < 0.05) compared to the CM group. Anatomical and functional outcomes were comparable between the two groups.

Conclusion: The 3D system exhibited a lower number of ICG injections, shorter ERM/ILM peeling times and a reduced incidence of intraoperative retinal hemorrhages, suggesting the 3D visualization system may offer advantages for macular surgery in highly myopic eyes.

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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.