Comparative study of straight vs angled incision in 27-gauge vitrectomy for epiretinal membrane
Comparative study of straight vs angled incision in 27-gauge vitrectomy for epiretinal membrane
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DOI：
10.2147/opth.s183456
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发表时间：
2018-01-01
影响因子：
2.2
通讯作者：
Takagi, Hitoshi
中科院分区：
文献类型：
--
作者：
Yomoda, Ryo;Sasaki, Hiroki;Takagi, Hitoshi
目的：本研究的目的是比较27号微切口玻璃体切除术中视网膜前膜（ERM）患者的直切口和斜切口。方法：对68例ERM患者73只眼进行27号微切口玻璃体切除术，分别行直切口（35眼）和斜切口（38眼）。结果：两组术后最佳矫正视力最小分辨角对数比较，差异无统计学意义。直切口组和斜切口组术后1天的眼压和低眼压率无差异（眼压分别为11.5和13.4 mmHg；低眼压率分别为20%和8%）。两组均于术后第10天完成伤口闭合。结论：直切口与斜切口在ERM玻璃体切除术中同样安全有效。
Purpose: The purpose of this study was to compare straight and angled incisions in 27-gauge microincision vitrectomy in patients with epiretinal membrane (ERM).Methods: Seventy-three eyes of 68 patients with ERM who underwent straight (35 eyes) or angled incision (38 eyes) for 27-gauge microincision vitrectomy were retrospectively evaluated.Results: No statistically significant difference was found between the two groups in postoperative logarithm of minimal angle of resolution best-corrected visual acuity. The intraocular pressure and rate of hypotony 1 day postoperatively did not differ between the straight- and angled-incision groups (intraocular pressure: 11.5 vs 13.4 mmHg, respectively; rate of hypotony: 20% vs 8%, respectively). Surgical wound closing occurred by postoperative day 10 in both groups.Conclusion: A straight incision is as safe and useful in ERM vitrectomy as an angled one.