Vitreoretinal Unit, Hôpital Ophtalmique Jules-Gonin, Lausanne, Switzerland.
Retina. 2011 Oct;31(9):1783-90. doi: 10.1097/IAE.0b013e31820a6818.
Although the surgical treatment of full-thickness macular hole is well established, the utility of pars plana vitrectomy in the treatment of lamellar macular hole (LMH) remains less clear. The purpose of the study is to report functional results of surgical treatment of LMH associated with epiretinal membrane.
Retrospective chart review of patients undergoing pars plana vitrectomy and peeling of epiretinal membrane and internal limiting membrane, with or without air or gas tamponade, for symptomatic LMH associated with epimacular membrane.
Forty-five eyes of 44 patients were operated for LMH associated with epimacular membrane between May 2000 and July 2009. Pars plana vitrectomy and membrane peeling were combined with air or gas tamponade in 43 of 45 cases. Mean logarithm of the minimum angle of resolution best-corrected visual acuity improved from 0.4 preoperatively to 0.13 postoperatively (P < 0.0001). Improvement in visual acuity ranged from 0 Early Treatment Diabetic Retinopathy Study (ETDRS) lines to 8.9 ETDRS lines (mean, 2.65 ETDRS lines). Visual acuity improved by ≥ 1 ETDRS line(s) in 40 of 45 eyes (89%) and by ≥ 2 ETDRS lines in 26 of 45 eyes (58%) after the surgical procedure. No patient lost vision.
This small retrospective study suggests that surgical treatment of LMH associated with epimacular membrane may improve visual acuity in symptomatic patients.
尽管全层黄斑裂孔的手术治疗已经成熟，但平面内玻璃体切除术治疗板层黄斑裂孔（LMH）的效果仍不明确。本研究旨在报告与内界膜的内界膜相关的板层黄斑裂孔（LMH）的手术治疗的功能结果。
回顾性分析 2000 年 5 月至 2009 年 7 月间接受平面内玻璃体切除术和内界膜剥除术治疗伴有内界膜的症状性 LMH 的患者的图表。
44 例患者的 45 只眼因伴有内界膜的 LMH 接受手术治疗。43 例（45 只眼）行玻璃体切除术和膜剥除术，并结合空气或气体填充。最佳矫正视力对数最小分辨角从术前的 0.4 提高到术后的 0.13（P < 0.0001）。视力提高幅度为 0 个早期治疗糖尿病视网膜病变研究（ETDRS）线至 8.9 个 ETDRS 线（平均提高 2.65 个 ETDRS 线）。45 只眼中有 40 只（89%）术后视力提高≥1 ETDRS 线，26 只眼（58%）提高≥2 ETDRS 线。无患者视力丧失。
这项小型回顾性研究表明，治疗伴有内界膜的板层黄斑裂孔的手术可能会改善症状性患者的视力。
