Idiopathic Epiretinal Macular Membrane and Cataract Extraction: Combined versus Consecutive Surgery
Idiopathic Epiretinal Macular Membrane and Cataract Extraction: Combined versus Consecutive Surgery
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DOI：
10.1016/j.ajo.2009.09.011
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发表时间：
2010-02-01
影响因子：
4.2
通讯作者：
Creuzot-Garcher, Catherine P.
中科院分区：
文献类型：
--
作者：
Dugas, Brice;Ouled-Moussa, Rym;Creuzot-Garcher, Catherine P.
目的：评价白内障和特发性黄斑前膜摘除联合手术和连续手术的功能和解剖结果。设计：多中心、回顾性、对照病例系列。方法：在第戎大学医院和南希大学医院的两个学术中心，对174例(174只眼)合并黄斑前膜的白内障患者进行1~2次手术。在2005-2006年间进行了联合手术(n=109)和连续手术(n=65)。所有患者均行ERM和内界膜摘除。白内障摘除手术采用超声乳化术，后房型人工晶状体植入。结果：经过12个月的随访，联合手术组和连续手术组的术后最佳矫正视力均有显著提高(P<；.0001)。同样，两组术后黄斑厚度均显著降低(P<；.0001)。我们注意到两组之间的视力改善没有统计学差异(近视力，P=.54；远视力，P=.38)。但联合手术组视力恢复较快。结论：联合手术和连续手术是治疗特发性ERM的有效方法。两种手术的功能和解剖结果是相同的。《眼科杂志》2010；149：302-306。(C)2010年，爱思唯尔公司保留所有权利。)
PURPOSE: To assess the functional and anatomic outcomes of cataract and idiopathic epiretinal macular membrane extraction in combined and consecutive surgeries.DESIGN: Multicenter, retrospective, comparative case series.METHODS: One hundred seventy-four patients (174 eyes) with an epiretinal macular membrane (ERM) and cataract were operated on in 1 or 2 sessions in 2 academic centers, Dijon University Hospital and Nancy University Hospital. Combined surgery (n = 109) and consecutive surgery (n = 65) were performed between 2005 and 2006. All patients underwent ERM and internal limiting membrane removal. Cataract extraction was performed with phacoemulsification followed by a posterior chamber intraocular lens implantation. The main outcome measures were near and far visual acuity and central macular thickness evaluated with optical coherence tomography.RESULTS: After a 12-month follow-up, the postoperative best-corrected visual acuities significantly improved in both the combined and the consecutive surgery groups (near and far vision in both groups, P < .0001). Similarly, the postoperative macular thickness significantly decreased in both groups (P < .0001). We noted no statistical differences between the visual acuity improvement in both groups (near vision, P = .54; far vision, P = .38). However, visual acuity recovery was quicker in the combined surgery group.CONCLUSIONS: Combined and consecutive surgeries are effective procedures to treat idiopathic ERM. The functional and anatomic results are equivalent in both procedures. (Am J Ophthalmol 2010;149:302-306. (C) 2010 by Elsevier Inc. All rights reserved.)