牵引性黄斑裂孔的自然史。

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-09-03 DOI:10.1097/IAE.0000000000004659

Kyeung Min Kim, Se Joon Woo, Sang Jun Park, Kwangsic Joo, Min Seok Kim

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引用次数: 0

摘要

目的：评价未经手术治疗的牵拉性黄斑板层裂孔患者的远期功能和解剖学结果。方法：选取2009年7月1日至2024年1月30日期间诊断为牵引性黄斑裂孔的63只眼，未进行任何手术治疗。评估初始和最终就诊期间最佳矫正视力（BCVA）、板层孔直径、光学相干断层扫描（OCT）视网膜中央厚度（CRT）、OCT血管造影中央凹无血管区（FAZ）区域和m图评分的变化。结果：平均随访3.7±3.0年。BCVA保持稳定（0.07±0.07 ~ 0.08±0.09 logMAR；≈20/23 ~ 20/24 Snellen当量；P=0.464）。结论：经长期随访，无手术干预的牵张性黄斑板层裂孔患者视力维持稳定。

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Natural history of tractional lamellar macular hole.

Purpose: To evaluate the long-term functional and anatomical outcomes in patients with tractional lamellar macular holes who were managed without surgical intervention.

Methods: 63 eyes previously diagnosed with tractional lamellar macular hole between July 1, 2009 and January 30, 2024 without any surgical interventions were enrolled. The change in best-corrected visual acuity (BCVA), lamellar hole diameter, central retinal thickness (CRT) on Optical coherence tomography (OCT), foveal avascular zone (FAZ) areas on OCT angiography, and M-chart scores between initial and final visit were assessed.

Results: The mean follow-up was 3.7±3.0 years. BCVA remained stable (0.07±0.07 to 0.08±0.09 logMAR; ≈20/23 to 20/24 Snellen equivalent; P=0.464). Lamellar hole diameter increased significantly (1586±610 to 1786±603 µm, P<0.001), while CRT remained unchanged (374±60 to 372±62 µm, P=0.564). FAZ area in the deep capillary plexus significantly increased (1.01±0.49 to 1.19±0.62 mm2, P=0.009), whereas FAZ in the superficial capillary plexus showed no significant change (0.48±0.19 to 0.49±0.18 mm2, P=0.624). M-chart scores remained stable in both horizontal and vertical axis (0.12±0.27 to 0.16±0.33 degree, P=0.534; 0.17±0.31 to 0.15±0.28 degree, P=0.640, respectively).

Conclusions: Patients with tractional lamellar macular holes maintained stable visual function over long-term follow-up without surgical intervention.

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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.