[黄斑裂孔手术中视网膜裂孔相关因素]

[Factors related to intraoperative retinal breaks in macular hole surgery].

作者信息

Kumagai K, Ogino N, Demizu S, Atsumi K, Kurihara H, Iwaki M, Ishigooka H, Tachi N

机构信息

Shinjo Ophthalmologic Institute, 899 Mego, Shimokitakata, Miyazaki 880-0035, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 2001 Feb;105(2):129-33.

PMID:11235202

Abstract

PURPOSE

To evaluate the factors of intraoperative retinal breaks in macular hole surgery.

METHODS

This study included 558 eyes of 506 patients who underwent idiopathic macular hole surgery by one surgeon. Multiple regression was performed using the variables of gender, age, affected eye, lens status, stage, duration of symptoms, hole size, axial length, and lattice degeneration.

RESULTS

The rate of retinal breaks was higher in stage 3 (16.0%) than in stage 4 (8.2%) (p = 0.014). In eyes with lattice degeneration intraoperative retinal breaks occurred in about 40% of the cases. Major factors were as follows: lattice degeneration (r = 0.24, p < 0.0001) in all eyes, stage (r = 0.090, p = 0.048) in eyes without lattice degeneration, and gender (r = -0.18, p = 0.035) in eyes of stage 4 without lattice degeneration.

CONCLUSIONS

The factors of intraoperative retinal breaks in macular hole surgery were lattice degeneration in all eyes and stage 3 in eyes without lattice degeneration. The high incidence of intraoperative retinal breaks in stage 3 was mainly due to the occurrence of posterior vitreous detachment. Male gender was a significant factor associated with intraoperative retinal breaks.

摘要

目的

评估黄斑裂孔手术中视网膜裂孔形成的相关因素。

方法

本研究纳入了由同一位外科医生实施特发性黄斑裂孔手术的506例患者的558只眼。采用性别、年龄、患眼、晶状体状态、分期、症状持续时间、裂孔大小、眼轴长度和格子样变性等变量进行多元回归分析。

结果

3期黄斑裂孔手术中视网膜裂孔发生率（16.0%）高于4期（8.2%）（p = 0.014）。在存在格子样变性的眼中，术中视网膜裂孔发生率约为40%。主要相关因素如下：所有眼中的格子样变性（r = 0.24，p < 0.0001），不存在格子样变性的眼中的分期（r = 0.090，p = 0.048），以及4期且不存在格子样变性的眼中的性别（r = -0.18，p = 0.035）。