Reductions in final visual acuity occur even within the first 3 days after a macula-off retinal detachment
Reductions in final visual acuity occur even within the first 3 days after a macula-off retinal detachment
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DOI：
10.1136/bjophthalmol-2018-313191
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发表时间：
2019-10-01
影响因子：
4.1
通讯作者：
Schachar, Ira H.
中科院分区：
文献类型：
--
作者：
Greven, Margaret A.;Leng, Theodore;Schachar, Ira H.
目的确定黄斑脱离视网膜脱离（macula-off retinal detachment，RD）后第一周内的黄斑脱离（macula-off retinal detachment，DMD）持续时间是否影响最终视力（final visual acuity，VA）。方法回顾性研究2007年5月1日至2017年5月1日在斯坦福大学医院接受玻璃体切除术或玻璃体切除术联合巩膜扣带术治疗黄斑脱离RD后7天内的患者。使用DMD、术后透镜状态、术前VA、患者年龄和外科医生作为自变量，最终VA作为因变量，构建广义线性模型。结果79只眼符合入选标准。第1组包括52只在DMD后3天内修复的RD，第2组包括27只在DMD后4 - 7天修复的RD。第1组眼睛的平均最终VA为最小分辨角的对数（logMAR）0.21（Snellen 20/33），第2组眼睛的平均最终VA为logMAR 0.54（Snellen 20/69）。在第1组和第2组中，术前VA（p= 0.017和p=0.007）、DMD（p=0.004和p=0.041）和最终透镜状态（p
Purpose To determine if final visual acuity (VA) is affected by duration of macular detachment (DMD) within the first week of macula-off retinal detachment (RD).Methods This is a retrospective study of eyes that underwent repair within 7 days with vitrectomy or vitrectomy with scleral buckle for macula-off RD at Stanford University Hospital between 1 May 2007 and 1 May 2017. A generalised linear model was constructed using DMD, postoperative lens status, preoperative VA, patient age and surgeon as the independent variables and the final VA as the dependent variable. The main outcome measure was the final VA.Results Seventy-nine eyes met the entry criteria. Group 1 included 52 eyes with RD repaired within 3 days of DMD, and group 2 included 27 eyes repaired between 4 and 7 days of DMD. The average final VA in group 1 eyes was logarithm of the minimum angle of resolution (logMAR) 0.21 (Snellen 20/33) and in group 2 eyes was logMAR 0.54 (Snellen 20/69). In group 1 and group 2 eyes, preoperative VA (p=0.017and p=0.007), DMD (p=0.004 and p=0.041) and final lens status (p