Complications associated with limited macular translocation.
Complications associated with limited macular translocation.
复制标题
与有限黄斑易位相关的并发症。
DOI：
10.1016/s0002-9394(00)00771-6
复制
发表时间：
2000
影响因子：
4.2
通讯作者：
E. D. Juan
中科院分区：
文献类型：
--
作者：
G. Fujii;D. Pieramici;M. Humayun;A. Schachat;S. Reynolds;M. Melia;E. D. Juan
方法回顾性分析1996年4月至1999年2月间因中心凹下脉络膜新生血管行有限性黄斑移位术的151例153眼患者的眼部并发症。研究的主要变量包括特定眼部并发症的发生率及其对术后3个月视力的影响。此外，对基线患者特征和手术因素进行评价，以确定它们是否是眼部并发症发生的重要风险因素。结果153眼中有141眼（92.15%）获得了至少3个月的随访。153只眼中有53只眼（34.6%）发生了至少一种并发症，其中51只眼（96.22%）的并发症发生在术后随访3个月之前。术中和术后并发症包括视网膜脱离（17.4%）、视网膜裂孔（13.4%）、黄斑裂孔（7.8%）、黄斑皱褶（4.6%）和眼内出血（玻璃体、视网膜下或脉络膜; 9.2%）。发生视网膜脱离、视网膜下出血和黄斑皱褶的眼睛比没有这些并发症的眼睛视力丧失明显更多（分别为P = 0.0001、P = 0.038和P = 0.027）。典型脉络膜新生血管、术中视网膜裂孔、眼内出血或黄斑皱褶形成与视网膜脱离显著相关（分别为P = 0.021、P = 0.025、P = 0.013和P = 0.014）。在研究期间，任何并发症、视网膜脱离和出血的发生率均显著降低，表明存在一个学习过程（分别为P = .03、P = .006、P = .027）。改进的手术技术和经验可以显著降低这些并发症的发生率。
PURPOSETo report the ocular complications associated with the limited macular translocation procedure.METHODSRetrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and February 1999. The major study variables investigated included the incidence of specific ocular complications and their impact on visual acuity at 3 months after the surgery. In addition, baseline patient characteristics and operative factors were evaluated to determine whether they were significant risk factors for the development of an ocular complication. The existence of a surgical procedure learning process was investigated.RESULTSOne hundred forty-one (92.15%) of 153 eyes achieved at least 3-month follow-up. At least one complication occurred in 53 of 153 eyes (34.6%) and in 51 of these 53 eyes (96.22%) the complications occurred before 3 months of postoperative follow-up. The intraoperative and postoperative complications included retinal detachment (17.4%), retinal breaks (13.4%), macular holes (7.8%), macular fold (4.6%), and intraocular hemorrhage (vitreous, subretinal, or choroidal; 9.2%). Eyes that developed retinal detachment, subretinal hemorrhage, and macular fold had significantly more loss of visual acuity than eyes without each of these complications (P = .0001, P = .038, and P = .027, respectively). The presence of predominantly classic choroidal neovascularization, the occurrence of an intraoperative retinal break, any intraocular hemorrhage, or macular fold formation were significantly associated with retinal detachment (P = .021, P = .025, P = .013, and P = .014, respectively). The incidence of any complication, retinal detachment, and hemorrhage significantly decreased during the study period, suggesting a learning process (P = .03, P = .006, P = .027, respectively).CONCLUSIONSA variety of ocular complications can occur during or after limited macular translocation, and some are associated with reduced postoperative visual acuity. Improved surgical techniques and experience may significantly reduce the incidence of these complications.
DOI：
--
发表时间：
1972
期刊：
--
影响因子：
--
作者：
D. Cox
通讯作者：
D. Cox