原发性孔源性视网膜脱离的内限制膜剥离：功能和形态学结果。

IF 0.8 4区医学 Q4 OPHTHALMOLOGY

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2025-02-01 Epub Date: 2025-02-13 DOI:10.1055/a-2441-7791

Franziska Eckardt, Julian Klaas, Jakob Siedlecki, Benedikt Schworm, Leonie Franziska Keidel, Denise Vogt, Thomas Kreutzer, Siegfried Priglinger

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引用次数: 0

摘要

目的：探讨内限制膜（ILM）剥离对增殖性玻璃体视网膜病变B级（PVR B）原发性孔源性视网膜脱离（RRD）修复的影响。方法：13只连续行玻璃体切割（ppV）合并ILM剥离治疗B型PVR的眼（1组）与13只原发RRD（无PVR，无ILM剥离）的眼（2组）相匹配。最短随访时间为6个月，所有眼均由同一位外科医生手术。两组患者术前特征（年龄、晶状体状态、黄斑开/关）相似（p≥0.113）。结果：随访结束时，再附着率具有可比性，1组为92.3%，2组为92.3% （p = 1.0）。术后基于OCT的视网膜前膜形成因ILM剥离而明显减少（p = 0.04）。视力也具有可比性(1组：0.26±0.29,2组：0.15±0.17 logMAR；p = 0.125)。结论：本研究提示术中切除PVR B RRD的ILM可以将功能和形态学结果改善到无PVR的无并发症RRD的水平。ILM剥落对术后视力没有负面影响。有必要进行更长的随访研究，以评估潜在的积极影响。

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Internal Limiting Membrane Peeling in Primary Rhegmatogenous Retinal Detachment: Functional and Morphologic Results.

Purpose: The aim of this study was to evaluate the influence of internal limiting membrane (ILM) peeling on the repair of proliferative vitreoretinopathy grade B (PVR B) primary rhegmatogenous retinal detachment (RRD).

Methods: Thirteen consecutive eyes that underwent pars plana vitrectomy (ppV) with ILM peeling for PVR B (group 1) were matched to a cohort of 13 eyes with primary RRD without PVR and without ILM peeling (group 2). Minimum follow-up was 6 months, and all eyes were operated by the same surgeon. Preoperative characteristics (age, lens status, macula-ON/OFF) were similar in the two groups (p ≥ 0.113).

Results: At the end of follow-up, reattachment rates were comparable, with 92.3% in group 1 and 92.3% in group 2 (p = 1.0). Postoperative epiretinal membrane formation based on OCT was significantly reduced by ILM peeling (p = 0.04). Visual acuity was also comparable (group 1: 0.26 ± 0.29, group 2: 0.15 ± 0.17 logMAR; p = 0.125).

Conclusion: This study suggests that intraoperative removal of the ILM in PVR B RRD can improve functional and morphological outcomes to levels obtained in uncomplicated RRD without PVR. ILM peeling does not appear to negatively affect postoperative visual acuity. Studies with longer follow-up are warranted to gauge a potential positive impact.

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来源期刊

Klinische Monatsblatter fur Augenheilkunde 医学-眼科学

CiteScore

1.30

自引率

0.00%

发文量

235

审稿时长

4-8 weeks

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