根据 Govetto 分类法,特发性视网膜外膜 3 期手术后的视觉预后因素。

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY
Takafumi Suzuki, Chisato Otaki, Yoshiki Ueta, Hideo Tate, Naoko Tachi, Masako Nagahara, Kunihiro Azuma, Takashi Ueta, Makoto Aihara
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引用次数: 0

摘要

目的:利用术前光学相干断层扫描(OCT)参数,按照戈韦托(Govetto)分类法,研究接受特发性视网膜外膜(ERM)3期手术患者的变形视觉预后:研究设计:回顾性临床研究:本研究包括 45 名患者的 45 只眼睛,随访期至少 3 个月。使用 M-CHARTS 记录最佳矫正视力(BCVA)和变形评分。根据光谱域 OCT 测量了中心眼窝厚度(CFT)、内核层厚度(INL)、异位视网膜内层厚度(EIFL)、视网膜外层厚度、椭圆形区破坏、棉球征和视网膜内囊样变。比较术前和术后的数值和情况,分析术前数值或情况与术后变形评分或 BCVA 之间的相关性:结果:术后,水平、垂直和平均变形评分,以及 BCVA、CFT、INL 和 EIFL 均明显改善(p 结论:术前 CFT 与术后 BCVA 显著相关:在接受特发性 ERM 3 期手术的患者中,术前 CFT 与术后变形明显相关。这一发现可能有助于外科医生预测术后视觉结果并及时做出手术决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Visual prognostic factors following surgery for stage 3 idiopathic epiretinal membrane by Govetto classification.

Visual prognostic factors following surgery for stage 3 idiopathic epiretinal membrane by Govetto classification.

Purpose: To investigate the visual prognosis of metamorphopsia in patients undergoing surgery for stage 3 idiopathic epiretinal membrane (ERM) by Govetto classification using preoperative optical coherence tomography (OCT) parameters.

Study design: Retrospective clinical study.

Method: This study included 45 eyes of 45 patients with a minimum follow-up period of 3 months. The best-corrected visual acuity (BCVA) and metamorphopsia score using the M-CHARTS were recorded. Central foveal thickness (CFT), inner nuclear layer thickness (INL), ectopic inner retinal layer thickness (EIFL), outer retinal layer thickness, disruption of the ellipsoid zone, cotton ball sign, and intraretinal cystoid changes were measured based on spectral domain OCT. Preoperative and postoperative values and conditions were compared, and correlations between the preoperative values or conditions and postoperative metamorphopsia scores or BCVA were analyzed.

Results: After surgery, the horizontal, vertical, and mean metamorphopsia scores, as well as BCVA, CFT, INL, and EIFL significantly improved (p < 0.001). Using multivariate analysis, only preoperative CFT was a significant explanatory parameter for both the postoperative horizontal metamorphopsia scores and mean values of the postoperative horizontal and vertical metamorphopsia scores (p = 0.019 and p = 0.011, respectively). Age (p = 0.011) and preoperative CFT (p = 0.026) were significant explanatory parameters of postoperative BCVA.

Conclusion: Preoperative CFT significantly correlated with postoperative metamorphopsia in patients undergoing surgery for stage 3 idiopathic ERM. This finding might help surgeons predict postoperative visual outcomes and make timely surgical decisions.

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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
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.
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