黄斑裂孔手术中上颞倒内限制膜技术的比较:手术效果及术后定位的作用。

IF 1.8 4区 医学 Q2 OPHTHALMOLOGY
Indian Journal of Ophthalmology Pub Date : 2025-09-01 Epub Date: 2025-07-18 DOI:10.4103/IJO.IJO_741_25
Emre Avcı, Ece Özal, Serhat Ermiş, Murat Karapapak, Sadık A Özal
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引用次数: 0

摘要

目的:比较全麻下颞部和上颞部倒内限制膜(ILM)皮瓣治疗黄斑裂孔(MH)的解剖和功能结果,并评价术后定位对手术成功的影响。方法:回顾性分析25例上逆行ILM皮瓣手术患者和19例颞部逆行ILM皮瓣手术患者。术前、1、3、6个月评估BCVA, 6个月时评估MH参数和闭合模式(U、V、W)。术后上皮瓣患者直立放置5天,颞瓣患者俯卧放置5天。结果:44例患者中,上部组1例,颞叶组2例需再次手术,一期成功率为93%。两组ELM直径相近(P < 0.05),但优势组术后ELM缺损较小(P < 0.05)。术后3个月视力差异无统计学意义(P < 0.05),术后6个月视力差异有统计学意义(P < 0.05)。结论:我们的研究结果表明全麻下上逆行ILM瓣不低于颞瓣,术后患者坐位依从性较好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of superior and temporal inverted internal limiting membrane techniques in macular hole surgery: Surgical outcomes and the role of postoperative positioning.

Comparison of superior and temporal inverted internal limiting membrane techniques in macular hole surgery: Surgical outcomes and the role of postoperative positioning.

Comparison of superior and temporal inverted internal limiting membrane techniques in macular hole surgery: Surgical outcomes and the role of postoperative positioning.

Comparison of superior and temporal inverted internal limiting membrane techniques in macular hole surgery: Surgical outcomes and the role of postoperative positioning.

Purpose: To compare the anatomical and functional outcomes of macular hole (MH) cases treated with superior and temporal inverted internal limiting membrane (ILM) flap surgery under general anesthesia and to assess the impact of postoperative positioning on surgical success.

Methods: This retrospective study included 25 patients with superior and 19 with temporal inverted ILM flap surgery. BCVA was evaluated preoperatively and at 1, 3, and 6 months, with MH parameters and closure patterns (U, V, and W) assessed at 6 months. Postoperatively, superior flap patients were positioned upright for 5 days, while temporal flap patients were positioned prone.

Results: Among 44 patients, one in the superior group and two in the temporal group required a second surgery, with a primary success rate of 93%. MH diameters were similar between groups ( P > 0.05), but the superior group had a smaller postoperative ELM defect ( P < 0.05). Visual acuity was similar preoperatively and up to 3 months ( P > 0.05), but the superior group showed better outcomes at 6 months ( P < 0.05).

Conclusion: Results of our study indicate that the superior inverted ILM flap under general anesthesia is non-inferior to the temporal flap, with better patient compliance in the sitting position postoperatively.

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来源期刊
CiteScore
3.80
自引率
19.40%
发文量
1963
审稿时长
38 weeks
期刊介绍: Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.
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