Witkin Andre J, Castro Leonardo C, Reichel Elias, Rogers Adam H, Baumal Caroline R, Duker Jay S
Tufts Medical Center, Department of Ophthalmology, Boston, Massachusetts 02111, USA.
Ophthalmic Surg Lasers Imaging. 2010 Jul-Aug;41(4):418-24. doi: 10.3928/15428877-20100426-04.
To assess anatomic and visual outcomes after pars plana vitrectomy for lamellar macular holes.
Charts of 746 patients who had vitrectomy surgery with membrane peel were reviewed. Preoperative diagnosis of lamellar macular hole was based on optical coherence tomography (OCT) appearance; 16 eyes of 16 patients met the inclusion criteria.
Mean acuity was 20/158 preoperatively and 20/118 postoperatively (P = .408). Central macular thickness was 377.06 µm preoperatively and 245.7 µm postoperatively (P = .002). Two eyes (13%) developed full-thickness macular holes postoperatively. Six eyes (38%) continued to have a lamellar macular defect on OCT postoperatively.
Despite postoperative anatomic improvement in many patients and an overall decrease in foveal thickness on OCT, this retrospective series suggests that vitrectomy for lamellar holes may not improve visual acuity.
评估玻璃体后脱离视网膜前膜剥除术治疗板层黄斑裂孔的解剖学和视觉效果。
回顾性分析746例行玻璃体切割联合视网膜前膜剥除术患者的病历资料。术前板层黄斑裂孔的诊断基于光学相干断层扫描（OCT）表现；16例患者的16只眼符合纳入标准。
术前平均视力为20/158，术后为20/118（P = 0.408）。术前黄斑中心厚度为377.06 µm，术后为245.7 µm（P = 0.002）。2只眼（13%）术后发生全层黄斑裂孔。6只眼（38%）术后OCT检查仍存在板层黄斑缺损。
尽管许多患者术后解剖结构改善，OCT检查显示黄斑中心凹厚度总体降低，但该回顾性系列研究表明，玻璃体切割术治疗板层黄斑裂孔可能无法提高视力。
