Morphologic and Functional Advantages of Macular Hole Surgery with Brilliant Blue G-Assisted Internal Limiting Membrane Peeling
Morphologic and Functional Advantages of Macular Hole Surgery with Brilliant Blue G-Assisted Internal Limiting Membrane Peeling
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DOI：
10.1097/iae.0b013e31822a33d0
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发表时间：
2011-09-01
影响因子：
3.3
通讯作者：
Ishibashi, Tatsuro
中科院分区：
文献类型：
--
作者：
Fukuda, Kouki;Shiraga, Fumio;Ishibashi, Tatsuro
材料和方法这是一个非随机，回顾性，干预性病例系列。2007年9月至2009年4月，在香川大学医院，连续53例特发性全层MH患者的53只眼接受了MH手术，并使用ICG（n= 22）（2007年9月至2008年8月）或BBG（n= 31）（2008年9月至2009年4月）进行ILM剥离。在所有患者中，手术是在初次就诊后尽快进行的。术前和术后1、3和6个月进行最佳矫正视力（BCVA）、使用光谱域光学相干断层扫描（Carl Zeiss Meditec，Inc，都柏林，CA）进行光学相干断层扫描检查和使用78屈光度透镜进行裂隙灯眼底检查。光学相干断层扫描阅读是由一位作者（FS）在不了解ILM剥离中使用的染色染料或手术结局的情况下以掩蔽方式进行的。当手术后在中央凹处观察到ELM或IS/OS线的连续性时，光学相干断层扫描读取器将ELM或IS/OS连接评价为重建或恢复。可以清楚地确定ELM或IS/OS线是否连续（图1和2）。
Materials and MethodsThis was a nonrandomized, retrospective, interventional case series. Between September 2007 and April 2009, 53 eyes of 53 consecutive patients with idiopathic full-thickness MH underwent MH surgery with ILM peeling using ICG (n= 22)(between September 2007 and August 2008) or BBG (n= 31)(between September 2008 and April 2009) at Kagawa University Hospital. In all patients, the surgery was performed as soon as possible after an initial visit to our hospital. Best-corrected visual acuity (BCVA), optical coherence tomography examination using spectral-domain optical coherence tomography (Carl Zeiss Meditec, Inc, Dublin, CA), and slit-lamp fundus examinations using a 78-diopter lens were performed before and 1, 3, and 6 months after surgery. Optical coherence tomography reading was performed by one of the authors (FS) in a masked fashion without knowledge of the staining dye used in ILM peeling or the surgical outcomes. The optical coherence tomography reader evaluated the ELM or IS/OS junction as reconstructed or restored when continuity of the ELM or the IS/OS line was observed at the fovea after surgery. The presence or absence of continuity of the ELM or IS/OS line could be clearly determined (Figures 1 and 2).