Comparison of Inverted ILM-Stuffing Technique and ILM Peeling Alone for Optic Disc Pit-Associated Maculopathy: Long-Term Results
Comparison of Inverted ILM-Stuffing Technique and ILM Peeling Alone for Optic Disc Pit-Associated Maculopathy: Long-Term Results
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DOI：
10.3928/23258160-20181203-12
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发表时间：
2018-12-01
影响因子：
1
通讯作者：
Singh, Shilky
中科院分区：
文献类型：
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作者：
Ravani, Raghav;Kumar, Atul;Singh, Shilky
背景与目的：为了评估长期的结果，倒置内界膜（ILM）填充到视盘小凹的视盘小凹黄斑病变（ODP-M）相比，玻璃体切除术与ILM剥离单独PATIENTS AND METHODS：12例12眼ODP-M接受玻璃体切除术，并随访超过12个月。我们回顾性分析了倒置ILM瓣填充ODP（组1，n = 6）与ILM剥离单独（组2，n = 6）的结局。结果：在12个月时，两组的最佳矫正视力和黄斑中心厚度均显着改善。相比之下，第1组黄斑裂的消退速度明显快于第2组（P = 0.012）。结论：睫状体平坦部玻璃体切除术（PPV）联合ILM剥离和PPV联合倒置ILM填充是ODP-M的有效治疗方式，倒置ILM填充显示黄斑裂的消退速度更快。
BACKGROUND AND OBJECTIVE: To evaluate long-term outcomes of inverted internal limiting membrane (ILM) stuffing into the optic disc pit for optic disc pit maculopathy (ODP-M) compared with vitrectomy with ILM peeling alone.PATIENTS AND METHODS: Twelve eyes of 12 patients who underwent vitrectomy for ODP-M and followed up more than 12 months were included. We retrospectively analyzed outcomes of inverted ILM flap stuffing into ODP (group 1, n = 6) with ILM peeling alone (group 2, n = 6).RESULTS: At 12 months, both groups showed significant improvement in best-corrected visual acuity and central macular thickness. On comparison, significantly faster resolution of maculoschisis was found in group 1 compared with group 2 (P = .012).CONCLUSIONS: Pars plana vitrectomy (PPV) with ILM peeling and PPV with inverted ILM stuffing are effective treatment modalities for ODP-M, with inverted ILM stuffing showing faster resolution of maculoschisis.