黄斑裂孔病例中人羊膜塞移植的安全性和有效性。范围综述。

IF 1.9 Q2 OPHTHALMOLOGY
Miguel A Quiroz-Reyes, Erick A Quiroz-Gonzalez, Miguel A Quiroz-Gonzalez, Virgilio Lima-Gomez
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引用次数: 0

摘要

背景:最近,利用人体羊膜(hAM)治疗黄斑裂孔的文献激增。在这篇范围综述中,我们旨在系统地叙述文献,以确定使用羊膜处理黄斑孔的病例,并探讨视觉和解剖结果,为未来的研究问题提供参考:本范围界定综述遵循《系统综述和元分析首选报告项目》指南。我们制定了详细的数据库检索策略(Scopus、Embase、Medline 和 Cochrane Central),以确定报道使用 hAM 管理黄斑孔的英文发表文章。所有人类临床研究均被纳入其中,并按研究类型进行叙述性数据综合:数据库搜索发现了 82 篇文章,其中 34 篇符合全文审阅条件(0 篇随机对照试验 (RCT)、12 篇非 RCT、10 篇回顾性综述、10 篇已发表的病例报告和 2 篇临床试验登记)。非研究性对照试验包括与多种视网膜疾病相关的黄斑孔患者,其中包括视网膜脱离、复发性黄斑孔和高度近视。只有两项非 RCT 报告了与对照组的比较数据,但研究特点各不相同,无法进行定量综合。大多数回顾性介入系列研究和个别病例报告显示,孔洞闭合和最佳矫正视力改善的成功率在 93-100% 之间。没有一项研究报告了 hAM 移植后的不良反应:结论:hAM 能有效封闭黄斑孔,且无任何安全问题,能改善所有黄斑孔的解剖和视觉效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety and efficacy of human amniotic membrane plug transplantation in cases of macular hole. A scoping review.

Background: Recently, there has been a surge of literature utilizing the human amniotic membrane (hAM) to manage cases of macular holes. In this scoping review, we aimed to systematically narrate the literature to identify cases of macular holes that are managed using hAM and explore the visual and anatomical outcomes to inform future research questions.

Methods: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A detailed database search strategy (Scopus, Embase, Medline, and Cochrane Central) was developed to identify English-language published articles that reported using hAM to manage macular holes. All human clinical studies were included for a narrative data synthesis divided across study types.

Results: The database search identified 82 articles, of which 34 were eligible for full-text review (0 randomized controlled trials (RCTs), 12 non-RCTs, 10 retrospective reviews, ten published case reports, and two clinical trial registries). The non-RCTs included patients with macular holes related to a wide range of retinal diseases, including retinal detachment, recurrent holes, and high myopia. Only two non-RCTs reported comparative data with a control group, but the study characteristics differed, and quantitative synthesis was impossible. Most retrospective interventional series and individual case reports reported a success rate of 93 -100% in hole closure and improvement in best-corrected visual acuity. None of the studies reported adverse effects after a hAM transplantation.

Conclusion: The hAM effectively seals macular holes without any safety concerns, improving anatomical and visual outcomes in all macular holes.

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来源期刊
CiteScore
3.50
自引率
4.30%
发文量
81
审稿时长
19 weeks
期刊介绍: International Journal of Retina and Vitreous focuses on the ophthalmic subspecialty of vitreoretinal disorders. The journal presents original articles on new approaches to diagnosis, outcomes of clinical trials, innovations in pharmacological therapy and surgical techniques, as well as basic science advances that impact clinical practice. Topical areas include, but are not limited to: -Imaging of the retina, choroid and vitreous -Innovations in optical coherence tomography (OCT) -Small-gauge vitrectomy, retinal detachment, chromovitrectomy -Electroretinography (ERG), microperimetry, other functional tests -Intraocular tumors -Retinal pharmacotherapy & drug delivery -Diabetic retinopathy & other vascular diseases -Age-related macular degeneration (AMD) & other macular entities
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