PERFLUOROCARBON LIQUID-ASSISTED INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE VERSUS INTERNAL LIMITING MEMBRANE PEELING FOR HIGHLY MYOPIC MACULAR HOLE RETINAL DETACHMENT
PERFLUOROCARBON LIQUID-ASSISTED INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE VERSUS INTERNAL LIMITING MEMBRANE PEELING FOR HIGHLY MYOPIC MACULAR HOLE RETINAL DETACHMENT
复制标题
全氟碳液体辅助倒置内部限制膜瓣技术与内部限制膜剥离治疗高度近视黄斑裂孔视网膜脱离。
DOI：
10.1097/iae.0000000000002853
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发表时间：
2021-02-01
影响因子：
3.3
通讯作者：
Xie, Ping
中科院分区：
文献类型：
--
作者：
Gu, Xunyi;Hu, Zizhong;Xie, Ping
目的：比较改良全氟碳液辅助倒置内界膜(ILM)瓣与标准ILM剥离术治疗高度近视眼黄斑裂孔视网膜脱离的疗效。方法：这是一项回顾性的、连续的、非随机的比较研究。将42例(42眼)黄斑裂孔视网膜脱离患者随机分为经氟碳液体辅助的倒置ILM瓣技术组(n=22)和标准ILM剥离组(n=20)。测量的结果是术后至少6个月黄斑裂孔闭合、视网膜复位和最佳矫正视力。结果：黄斑裂孔内翻组20眼(90.9%)，剥离组8眼(40%)(P<；0.01)。内翻组和剥离组的复位率分别为100%和95%(P=0.476)。内翻组平均最佳矫正视力较基线提高27.4%+/-19.9%，剥离组平均最佳矫正视力提高13.6%+/-22.5%(P=0.044)。结论：高度近视黄斑裂孔视网膜脱离术后应用经氟碳液体辅助下的ILM倒置瓣技术能有效地封闭黄斑裂孔，重建视网膜，改善视功能。
Purpose: To compare the efficacy of a modified perfluorocarbon liquid-assisted inverted internal limiting membrane (ILM) flap technique with the standard ILM peeling for the treatment of macular hole retinal detachment in highly myopic eyes. Methods: This was a retrospective, consecutive, nonrandomized comparative study. Forty-two macular hole retinal detachment eyes of 42 patients were included into either a perfluorocarbon liquid-assisted inverted ILM flap technique group (n = 22, inverted group) or standard ILM removal group (n = 20, peeling group). Outcomes measured were macular hole closure, retinal reattachment, and best-corrected visual acuity at least 6 months after surgery. Results: Macular hole closure was achieved in 20 eyes (90.9%) in the inverted group and in eight eyes (40%) in the peeling group (P < 0.01). Reattachment rates were 100% in the inverted group and 95% in the peeling group (P = 0.476). The mean best-corrected visual acuity improvement from baseline was 27.4 +/- 19.9 Early Treatment Diabetic Retinopathy Study letters in the inverted group while the best-corrected visual acuity improvement was 13.6 +/- 22.5 Early Treatment Diabetic Retinopathy Study letters in the peeling group (P = 0.044). Conclusion: The perfluorocarbon liquid-assisted inverted ILM flap technique was effective in sealing the macular hole, reattaching retina, and improving visual function postoperatively in highly myopic macular hole retinal detachment.