Rouhette H, Gastaud P
Service d'Ophtalmologie du Pr P. Gastaud, Hôpital Saint Roch, 5 rue Pierre Dévoluy, 06006 Nice.
J Fr Ophtalmol. 2001 May;24(5):496-504.
Evaluate the visual results, the complications and the prognosis factors of surgery for idiopathic vitreomacular traction syndrome.
We retrospectly reviewed 29 consecutive eyes that had undergone pars plana vitrectomy and posterior epiretinal membrane peeling for idiopathic vitreomacular traction syndrome.
The mean follow-up after surgery was 17.7 months. Among the 29 cases, 21 were phakic. Visual acuity improved by 2 lignes or more in 72.4% of the cases and the mean improvement was 2.7. Eyes with preoperative visual acuity of 0.25 or more had better postoperative vision than the others (0.42vs0.65;p=0.006). During the follow-up, 10 patients underwent phacoemulsification and posterior chamber implantation (47.6%). The mean visual acuity of these 10 cases was poorer than the mean visual acuity of the 8 pseudophakic patients that underwent vitrectomy (0.45vs0.61;p=0.046). Five recurrences of epiretinal membrane were observed (17.2%).
Surgical treatment of vitreomacular traction syndrome improves visual acuity in most of cases. Further studies with optical coherence tomography are necessary to understand the pathogenic mechanisms of vitreomacular interface syndromes.
评估特发性玻璃体黄斑牵拉综合征手术的视觉效果、并发症及预后因素。
我们回顾性分析了连续29例因特发性玻璃体黄斑牵拉综合征接受玻璃体切割联合视网膜前膜剥除术的患眼。
术后平均随访17.7个月。29例中，21例为有晶状体眼。72.4%的病例视力提高2行或更多，平均提高2.7行。术前视力0.25及以上的患眼术后视力优于其他患眼（0.42对0.65；p = 0.006）。随访期间，10例患者接受了白内障超声乳化吸除联合后房型人工晶状体植入术（47.6%）。这10例患者的平均视力低于接受玻璃体切割术的8例无晶状体眼患者的平均视力（0.45对0.61；p = 0.046）。观察到5例视网膜前膜复发（17.2%）。
玻璃体黄斑牵拉综合征的手术治疗在大多数情况下可提高视力。有必要通过光学相干断层扫描进行进一步研究，以了解玻璃体黄斑界面综合征的发病机制。
