Comparisons of surgical outcomes after epiretinal membrane peeling in the myopic eyes with long to that with normal axial length
Comparisons of surgical outcomes after epiretinal membrane peeling in the myopic eyes with long to that with normal axial length
复制标题
长眼轴与正常眼轴近视眼视网膜前膜剥脱术的手术效果比较
DOI：
10.1007/s00417-020-04875-6
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Yamamoto Shuichi
中科院分区：
文献类型：
--
作者：
Miura Gen;Baba Takayuki;Tatsumi Tomoaki;Iwase Takehito;Yokouchi Hirotaka;Yamamoto Shuichi
目的比较长轴长（AL）近视眼与正常 AL 眼玻璃体切除术去除特发性视网膜前膜（ERM）的结果。方法这是一项回顾性、观察性、病例对照研究。研究人员对 56 名特发性 ERM 患者的 56 只眼睛进行了研究。其中 28 只眼睛的眼轴长度大于 26.0 毫米（A 组），另外 28 只眼睛的眼轴长度 < 26.0 毫米（B 组）。两组的年龄和视力没有显着差异。所有受试者均接受玻璃体切除术和使用 25 或 27 号系统剥离 ERM 的治疗。术后 3 个月和 6 个月确定术后最佳矫正视力 (BCVA) 和光学相干断层扫描结果。结果 长 AL 眼的平均 BCVA 从 0.35 ± 0.25 改善至 0.15 ± 0.25 logMAR 单位，正常 AL 眼的平均 BCVA 从 0.35 ± 0.25 改善至 0.10 ± 0.21 logMAR 单位。术后6个月 （两者P<0.001）。术后6个月两组BCVA无显着差异（P=0.221）。 A组眼睛中央黄斑较B组薄(P<0.001)。两组均观察到椭圆体区和外界膜的恢复，但A组叉指区恢复的频率较低（P<0.001）。结论即使对于长AL的近视眼，去除视网膜前膜的玻璃体切除术也能有效获得良好的BCVA。
PurposeTo compare the outcomes of vitrectomy with removal of an idiopathic epiretinal membrane (ERM) in the myopic eyes with long axial length (AL) to that in the eyes with normal AL.MethodsThis was a retrospective, observational, case-control study. Fifty-six eyes of 56 patients with an idiopathic ERM were studied. Twenty-eight of these eyes had an axial length longer than 26.0 mm (Group A), and the other 28 eyes had axial lengths < 26.0 mm (Group B). The age and visual acuity of the two groups were not significantly different. All subjects were treated by vitrectomy and peeling of the ERM with a 25- or 27-gauge system. The postoperative best-corrected visual acuity (BCVA) and optical coherence tomographic findings were determined at 3 and 6 months postoperatively.ResultsThe mean BCVA improved from 0.35 ± 0.25 to 0.15 ± 0.25 logMAR units in the eyes with the long AL and from 0.35 ± 0.25 to 0.10 ± 0.21 logMAR units in the eyes with normal AL at 6 months postoperatively (bothP< 0.001). The postoperative BCVA was not significantly different between the two groups at 6 months (P= 0.221). The central macula was thinner in the eyes of Group A than Group B (P< 0.001). The restorations of the ellipsoid zone and the external limiting membrane were observed in both groups, but the interdigitation zone was less frequently restored in Group A (P< 0.001).ConclusionsVitrectomy with the removal of the epiretinal membrane is effective in attaining a good BCVA even in the myopic eyes with long AL.
高度近视眼视网膜前膜手术的结果：病例对照研究
影响因子：
4.1
作者：
Jean;C. Favel;J. Selton;I. Hubert;V. Cloché;F. Tréchot;J. Berrod
通讯作者：
J. Berrod
影响因子：
4.2
作者：
Ohno-Matsui, Kyoko;Kawasaki, Ryo;Wong, Tien Yin
通讯作者：
Wong, Tien Yin