特发性视网膜前膜手术后黄斑结构和视觉功能的随访研究

Zirui Peng, Yong Liu
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引用次数: 0

摘要

目的探讨特发性黄斑膜手术患者黄斑结构与视力的关系。方法回顾性分析38例患者(38眼)的资料。测定最佳矫正视力(BCVA)、中央凹厚度(CFT)、平均黄斑厚度,采用Pearson相关分析探讨BCVA、CFT与平均黄斑厚度的相关性。根据椭球区(EZ)是否不规则分为两组。分析各组的BCVA、CFT及平均黄斑厚度。结果平均BCVA改善至0.45 (SD 0.26),平均CFT回归至334.5um (SD 69.5)。术前BCVA与术前平均黄斑厚度显著相关,最终BCVA与最终CFT相关。中央中央凹厚度的减少与视力的改善之间存在线性关系。EZ完整组最终BCVA优于EZ破坏组。结论CFT可能是ERM术后一个有用的预后因素。在EZ完好无损的情况下进行手术可能会更好。关键词:特发性视网膜上膜;光学相干层析;视力;中央凹厚度;椭球体区
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A follow-up study of macular structure and visual function after idiopathic epiretinal membrane surgery
Objective To investigate the relationship between macularstructure and visual acuity in patients with idiopathic macular membrane surgery. Methods A retrospective trail analyzed the data of 38 patients (38eyes). The best corrected visual acuity(BCVA), central foveal thickness(CFT), average macular thickness were measured and the correlations between BCVA, CFT and average macular thickness were investigated using Pearson correlation analysis. Patients were divided into two groups based on whether the Ellipsoid Zone (EZ) was irregular. The BCVA, CFT and average macular thickness of each group were also analyzed. Results The mean BCVA was improved to0.45 (SD 0.26) and the mean CFT regressed to 334.5um (SD 69.5).The preoperative BCVA was significantly correlated with preoperative average macular thickness and the final BCVA was correlated with final CFT. A linear relationship between the reduction of central foveal thickness and improvement of visual acuity was confirmed. The final BCVA of EZ intact group was better than EZ disrupted group. Conclusions CFT could be a useful prognostic factor after ERM surgery. It might be better to schedule surgery while the EZ remain intact. Key words: Idiopathic epiretinalmembrane; Optical coherence tomography; Visual acuity; Central foveal thickness; Ellipsoid zone
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来源期刊
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期刊介绍: China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.
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