Outcomes of epiretinal membrane surgery in highly myopic eyes: a case–control study
Outcomes of epiretinal membrane surgery in highly myopic eyes: a case–control study
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高度近视眼视网膜前膜手术的结果：病例对照研究
DOI：
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发表时间：
2014
影响因子：
4.1
通讯作者：
J. Berrod
中科院分区：
文献类型：
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作者：
Jean;C. Favel;J. Selton;I. Hubert;V. Cloché;F. Tréchot;J. Berrod
目的评价高度近视眼视网膜前膜(ERM)手术的疗效，并与非高度近视眼进行比较。方法对连续接受ERM手术的1776例(1776只眼)患者进行回顾性嵌套病例对照研究。高度近视(眼轴长度大于26 mm)57只眼纳入研究组，与来自同一队列的57只非高度近视对照眼的术前视力和症状持续时间相匹配。分析最佳矫正视力(BCVA)、眼轴与视力改善的关系、黄斑中心厚度(CMT)及手术并发症。结果高度近视眼平均眼轴为(27.3±1.1) mm，对照组为(23.1±1) mm(P<；0.001)。在1年期末检查时，研究组(P<；0.001)和对照组(P<；0.001)的平均最佳矫正视力分别从最小分辨角度对数(LogMAR)0.62±0.23提高到0.27±0.21logMAR(p<；0.001)。同样，两组的平均CMT均显著降低(P<；0.001)。在视觉和解剖变化以及手术并发症方面，两组在统计学上没有差异。眼轴长度与视力恢复无明显相关性。结论ERM手术对两组患者的解剖和功能影响相似。较长的眼轴似乎并不影响视力改善和并发症发生率。
Aims To evaluate the outcomes of epiretinal membrane (ERM) surgery in highly myopic eyes and to compare them with those from non-highly myopic eyes. Methods Retrospective nested case–control study from a cohort of 1776 consecutive patients (1776 eyes) who underwent surgery for ERM. Fifty-seven highly myopic eyes (with axial length longer than 26 mm) were included in the study group and were matched for preoperative visual acuity and duration of symptoms with 57 non-highly myopic control eyes selected from the same cohort. The best-corrected visual acuity (BCVA), the relationship between axial length and visual improvement, the central macular thickness (CMT) and the surgical complications were analysed. Results The mean axial length was 27.3±1.1 mm in highly myopic eyes and 23.1±1 mm in controls (p<0.001). At the 1-year final examination, the mean BCVA significantly improved from 0.62±0.23 logarithm of minimal angle of resolution (logMAR) to 0.27±0.21 logMAR in the study group (p<0.001) and from 0.61±0.22 logMAR to 0.25±0.15 logMAR in the control group (p<0.001). Similarly, the mean CMT significantly decreased in both groups (p<0.001). The two groups did not differ statistically in terms of visual and anatomical changes as well as surgical complications. There was no significant correlation between axial length and visual recovery. Conclusions ERM surgery resulted in similar anatomical and functional outcomes in both groups. Longer axial length does not seem to affect visual improvement and the complication rate.
影响因子：
13.7
作者：
Ng CH;Cheung N;Wang JJ;Islam AF;Kawasaki R;Meuer SM;Cotch MF;Klein BE;Klein R;Wong TY
通讯作者：
Wong TY