{"title":"与术前特发性黄斑孔直径增大有关的眼部因素。","authors":"Hiroto Terasaki, Toshifumi Yamashita, Ryoh Funatsu, Hideki Shiihara, Takehiro Yamashita, Taiji Sakamoto","doi":"10.1097/IAE.0000000000003490","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine the preoperative factors that are significantly correlated with an enlargement of an idiopathic macular hole (MH) during the one-month preoperative period.</p><p><strong>Methods: </strong>This was a retrospective cross-sectional study of patients with MH who had undergone vitrectomy in the Kagoshima University Hospital. The stage of the MH was determined by using spectral domain optical coherence tomography. Patients who had optical coherence tomography images at two time points more than 14 days apart before the vitrectomy were studied.</p><p><strong>Results: </strong>The MH participants were at Stage 2 in 44 eyes, at Stage 3 in 58 eyes, and at Stage 4 in 38 eyes. The rate of increase of the hole diameter was 26.0 ± 42.3% at Stage 2, 5.52 ± 15.5% at Stage 3, and 8.04 ± 18.7% at Stage 4. The rate of change at Stage 2 was significantly greater than that at Stage 3 and Stage 4 (both P < 0.01). In Stage 2, the MH diameter at the initial visit was significantly and negatively correlated with the rate of MH enlargement (r = -0.35, P = 0.021).</p><p><strong>Conclusion: </strong>Patients with Stage 2 MHs, especially eyes with small hole diameter, should be considered for early surgery.</p>","PeriodicalId":377573,"journal":{"name":"Retina (Philadelphia, Pa.)","volume":" ","pages":"1484-1490"},"PeriodicalIF":0.0000,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"OCULAR FACTORS RELATED TO PREOPERATIVE ENLARGEMENT OF IDIOPATHIC MACULAR HOLE DIAMETER.\",\"authors\":\"Hiroto Terasaki, Toshifumi Yamashita, Ryoh Funatsu, Hideki Shiihara, Takehiro Yamashita, Taiji Sakamoto\",\"doi\":\"10.1097/IAE.0000000000003490\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine the preoperative factors that are significantly correlated with an enlargement of an idiopathic macular hole (MH) during the one-month preoperative period.</p><p><strong>Methods: </strong>This was a retrospective cross-sectional study of patients with MH who had undergone vitrectomy in the Kagoshima University Hospital. The stage of the MH was determined by using spectral domain optical coherence tomography. Patients who had optical coherence tomography images at two time points more than 14 days apart before the vitrectomy were studied.</p><p><strong>Results: </strong>The MH participants were at Stage 2 in 44 eyes, at Stage 3 in 58 eyes, and at Stage 4 in 38 eyes. The rate of increase of the hole diameter was 26.0 ± 42.3% at Stage 2, 5.52 ± 15.5% at Stage 3, and 8.04 ± 18.7% at Stage 4. The rate of change at Stage 2 was significantly greater than that at Stage 3 and Stage 4 (both P < 0.01). In Stage 2, the MH diameter at the initial visit was significantly and negatively correlated with the rate of MH enlargement (r = -0.35, P = 0.021).</p><p><strong>Conclusion: </strong>Patients with Stage 2 MHs, especially eyes with small hole diameter, should be considered for early surgery.</p>\",\"PeriodicalId\":377573,\"journal\":{\"name\":\"Retina (Philadelphia, Pa.)\",\"volume\":\" \",\"pages\":\"1484-1490\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Retina (Philadelphia, Pa.)\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/IAE.0000000000003490\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina (Philadelphia, Pa.)","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000003490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
摘要
目的:确定术前一个月内与特发性黄斑孔(MH)扩大显著相关的术前因素。方法:对鹿儿岛大学医院行玻璃体切除术的MH患者进行回顾性横断面研究。利用光谱域光学相干层析成像技术确定了MH的阶段。研究了玻璃体切除术前相隔14天以上的两个时间点进行光学相干断层扫描的患者。结果:MH参与者2期44眼，3期58眼，4期38眼。第2阶段孔径增大26.0±42.3%，第3阶段增大5.52±15.5%，第4阶段增大8.04±18.7%。第2期的变化率显著大于第3、4期(P均< 0.01)。在第2阶段，初次就诊时MH直径与MH增大率呈显著负相关(r = -0.35, P = 0.021)。结论:2期MHs患者应考虑早期手术治疗，尤其是小孔眼。
OCULAR FACTORS RELATED TO PREOPERATIVE ENLARGEMENT OF IDIOPATHIC MACULAR HOLE DIAMETER.
Purpose: To determine the preoperative factors that are significantly correlated with an enlargement of an idiopathic macular hole (MH) during the one-month preoperative period.
Methods: This was a retrospective cross-sectional study of patients with MH who had undergone vitrectomy in the Kagoshima University Hospital. The stage of the MH was determined by using spectral domain optical coherence tomography. Patients who had optical coherence tomography images at two time points more than 14 days apart before the vitrectomy were studied.
Results: The MH participants were at Stage 2 in 44 eyes, at Stage 3 in 58 eyes, and at Stage 4 in 38 eyes. The rate of increase of the hole diameter was 26.0 ± 42.3% at Stage 2, 5.52 ± 15.5% at Stage 3, and 8.04 ± 18.7% at Stage 4. The rate of change at Stage 2 was significantly greater than that at Stage 3 and Stage 4 (both P < 0.01). In Stage 2, the MH diameter at the initial visit was significantly and negatively correlated with the rate of MH enlargement (r = -0.35, P = 0.021).
Conclusion: Patients with Stage 2 MHs, especially eyes with small hole diameter, should be considered for early surgery.
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