万隆Cicendo眼科医院国家眼科中心玻璃体切除(PPV)及内限定膜(ILM)剥离术后黄斑裂孔的特点

Rani Pitta Omas
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引用次数: 1

摘要

黄斑裂孔(MH)可引起严重的视力障碍,但手术治疗黄斑裂孔已取得显著进展。玻璃体切除术配合内限制膜(ILM)剥离,使得MH闭合成功率非常高(接近90%)。目的比较玻璃体切除(PPV)和内限制膜(ILM)剥脱术后黄斑裂孔闭合与未闭合患者的特征。方法:采用回顾性研究方法,收集2018年7月1日至12月31日行PPV和ILM剥离的患者病历资料。结果:25例患者27眼行MH手术。术后闭合MH 20眼(74%),未闭合MH 7眼(26%)。封闭MH组术前HFF值为1.34±0.90,MHI值为1.09±0.81,未封闭MH组术前HFF值为0.53±0.12,MHI值为0.75±0.10。MHI≥0,5和HFF值≥0,9为预后良好因素。结论:尽管OCT测量具有良好的预后因素和解剖成功,但中央凹微结构对MH术后视力恢复也很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Characteristics of Patient with Macular Hole After Pars Plana Vitrectomy (PPV) and Internal Limiting Membran (ILM) Peeling in Cicendo Eye Hospital National Eye Center, Bandung
Introduction : Macular hole (MH) can cause severe visual disturbance, but remarkable progress has been achieved in surgical treatment for eyes with this condition. Vitrectomy with internal limiting membrane (ILM) peeling allows a very high success rate for MH closure (approaching 90%). To compare characteristics patients with closed and unclosed macular hole after pars plana vitrectomy (PPV) surgery and internal limiting membran (ILM) peeling. Method : This was retrospective study which data was obtain from patient’s medical records who underwent PPV and ILM peeling since July 1st to December 31th 2018. Results :  27 eyes from 25 patients had MH surgery. 20 eyes (74%)  had closed MH and 7 (26%) eyes unclosed MH after surgery. HFF value before surgery was 1,34 ± 0,90 and MHI was 1,09 ± 0,81 in closed MH. Meanwhile in unclosed MH, HFF value before surgery 0,53 ± 0,12 and MHI was 0,75 ±0,10. MHI ≥0,5 and HFF value ≥ 0,9 had a good prognostic factor. Conclusion : Despite of good prognostic factor from OCT measurement and achieve anatomical success,  foveal microstructure also important in  visual recovery after MH surgery.
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