非玻璃体切割玻璃体手术治疗黄斑裂孔。

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-08-01 DOI:10.1097/IAE.0000000000004628

Nan Chen, Xinying Li, Xiaonan Yao, Dong Chen, Xuewei Liu

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引用次数: 0

摘要

目的：评价内限定膜剥离联合气体填塞在非玻璃体切割玻璃体手术（NVS）治疗黄斑裂孔的疗效。方法：21例（21只眼）MHs患者行内眦眦剥离加小C3F8气泡填塞术，随访至少6个月。观察眼孔闭合情况及视力变化情况。结果：继发性mhhs 2例，特发性mhhs 19例，基线时平均最小直径309.47±165.71µm。初次手术后19眼（90.47%）成功闭孔。最佳矫正视力由术前的20/400-20/28（0.74±0.29 logMAR）提高至术后的20/166-20/22(0.32±0.22 logMAR) （P < 0.001）。结论：NVS联合ILM剥离联合短期气体填塞可促进中小mhh的闭合。这种简化的手术方法减轻了来自眼内膜的切向力，释放了黄斑表面的玻璃体粘连，同时保留了玻璃体皮质。

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Nonvitrectomizing vitreous surgery in patients with macular holes.

Purpose: To evaluate the efficacy of internal limiting membrane (ILM) peeling combined with gas tamponade in nonvitrectomizing vitreous surgery (NVS) for macular holes (MHs).

Methods: A total of 21 patients (21 eyes) with MHs who underwent NVS with ILM peeling and a small C3F8 gas bubble tamponade and completed at least 6 months of follow-up were included. The status of hole closure and visual acuity change were evaluated.

Results: There were two secondary MHs and 19 idiopathic MHs with the mean minimal diameter of 309.47±165.71 µm at baseline. Hole closure was achieved in 19 (90.47%) eyes after the primary operation. The best-corrected visual acuity was improved from preoperative 20/400-20/28 (0.74±0.29 logMAR) to postoperative 20/166-20/22 (0.32±0.22 logMAR) (P < 0.001).

Conclusions: The procedure of NVS with ILM peeling combined with short-term gas tamponade can promote closure of small to medium-sized MHs. This simplified surgical approach relieves the tangential force coming from the ILM and releases the vitreous adhesion from the macular surface while preserving the vitreous cortex.

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.