Merkur Andrew B, Tuli Raman
Department of Ophthalmology, University of Ottawa, Ottawa, Ontario, Canada.
Retina. 2007 Mar;27(3):365-9. doi: 10.1097/01.iae.0000242856.72514.5a.
To assess the surgical success rates of modern macular hole repair with elimination of face down positioning.
A review of data for 72 eyes (from 102 consecutive cases) with idiopathic macular holes treated surgically between 1998 and 2004 was performed. Exclusion criteria consisted of macular hole for >1 year or of unknown duration and macular holes from secondary causes. All patients were evaluated and surgically managed by one surgeon (R.T.).
Average preoperative best spectacle corrected visual acuity (BSCVA) was 20/170 (6/51). Six patients had a grade II hole, 60 patients had a grade III hole, and 6 patients, had a grade IV hole. Anatomical success was achieved in 92% of cases with 1 operation, and the average postoperative BSCVA was 20/46 (6/14). Six patients required additional surgical management to achieve anatomical success with an average postoperative BSCVA of 20/55 (6/16.5). The postoperative BSCVA improved an average of 5.7 lines from baseline.
Favorable anatomical and BSCVA outcomes were achieved with the elimination of face down positioning in the postoperative period. Additional benefits are an increase in patient acceptance and compliance and the number of patients eligible for the procedure.
评估在不采用俯卧位的情况下现代黄斑裂孔修复术的手术成功率。
回顾了1998年至2004年间接受手术治疗的72只眼（来自102例连续病例）特发性黄斑裂孔的数据。排除标准包括黄斑裂孔时间超过1年或时间不明以及继发性黄斑裂孔。所有患者均由一名外科医生（R.T.）进行评估和手术治疗。
术前平均最佳矫正视力（BSCVA）为20/170（6/51）。6例为Ⅱ级裂孔，60例为Ⅲ级裂孔，6例为Ⅳ级裂孔。92%的病例一次手术即获得解剖学成功，术后平均BSCVA为20/46（6/14）。6例患者需要额外的手术治疗以获得解剖学成功，术后平均BSCVA为20/55（6/16.5）。术后BSCVA较基线平均提高了5.7行。
在术后不采用俯卧位的情况下，获得了良好的解剖学和BSCVA结果。额外的益处包括患者接受度和依从性的提高以及适合该手术的患者数量的增加。
