IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Alfonso Savastano, Valerio Calabresi, Emanuele Crincoli, Maria Cristina Savastano, Umberto De Vico Umberto, Nicola Claudio D'Onofrio, Stanislao Rizzo, Andrea Govetto
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引用次数: 0

摘要

目的:评估流变性黄斑-关闭性视网膜脱离手术后两种不同患者术后体位之间的差异:在这项连续性临床研究中,26 名患者被分入术后体位面朝上组或面朝下组。术后 1、3 和 6 个月进行随访,使用 1 型 M-CHARTS、最佳矫正视力(BCVA)、眼压和光学相干断层扫描成像评估术后的功能和解剖结果:6个月时,正面朝上组的平均视力恢复为0.35159 +/- 0.30945最小分辨角的对数(logMAR),正面朝下组的平均视力恢复为0.81521 +/- 0.46662 logMAR。6个月时,正面朝上组的平均水平1型M-CHARTS为0.1615 +/- 0.1710,正面朝下组为0.2846 +/- 0.2828;正面朝上组的平均垂直1型M-CHARTS为0.1615 +/- 0.1557,正面朝下组为0.2846 +/- 0.1725:面朝上体位对变形视力和BCVA均有明显改善,这表明视网膜色素上皮层上的感光细胞缓慢重新附着可带来更好的视力恢复质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Face-up vs face-down positioning after rhegmatogenous macula-off retinal detachment surgery: Hypothesis of better recovery.

Purpose: To evaluate the differences between two distinct patient postoperative positions following rhegmatogenous macula-off retinal detachment surgery.

Methods: In this consecutive clinical study, 26 patients were placed in either the face-up or face-down postoperative position group. Postoperative follow-ups were conducted at 1, 3, and 6 months using type 1 M-CHARTS, best-corrected visual acuity (BCVA), intraocular pressure, and optical coherence tomography imaging to evaluate the functional and anatomical outcomes after surgery.

Results: The average vision recovery at 6 months was 0.35159 +/- 0.30945 logarithm of the minimum angle of resolution (logMAR) for the face-up group and 0.81521+/- 0.46662 logMAR for the face-down group. At 6 months, the average horizontal type 1 M-CHARTS for the face-up group was 0.1615 +/- 0.1710 and 0.2846 +/- 0.2828 for the face-down group; and the average vertical type 1 M-CHARTS was 0.1615 +/- 0.1557 for the face-up group and 0.2846 +/- 0.1725 for the face-down group.

Conclusion: The face-up position demonstrated significant improvement in both metamorphopsia and BCVA, suggesting that slow reattachment of photoreceptors on the retinal pigment epithelium layer can result in better quality of sight recovery.Further studies with larger sample sizes are warranted to confirm these results.The study adhered to the guidelines of the Declaration of Helsinki.

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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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