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[微切口玻璃体切除术前、后视网膜前膜和黄斑裂孔患者黄斑中心凹下脉络膜厚度的变化]

[Changes in subfoveal choroidal thickness of epiretinal membrane and macular hole before and after microincision vitrectomy surgery].

作者信息

Fujiwara Atsushi, Shiragami Chieko, Fukuda Kouki, Nomoto Hiroyuki, Shirakata Yukari, Shiraga Fumio

机构信息

Department of Ophthalmology, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa-ken 761-0793, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 2012 Nov;116(11):1080-5.

Abstract

PURPOSE

To evaluate the subfoveal choroidal thickness (SCT) of the epiretinal membrane (ERM) and macular hole (MH) both before and after microincision vitrectomy surgery.

SUBJECTS AND METHODS

A total of 104 eyes of 104 subjects (64 ERM, 40 MH, mean age 68.9 years) were evaluated. All subjects underwent vitrectomy with internal limiting membrane peeling. SCT was measured before vitrectomy and 1 week, 1 month and 3 months postoperatively. SCT was measured by enhanced depth imaging OCT (EDI-OCT) using a Heiderberg Spectralis.

RESULTS

The SCT of ERM was 202.6 microm before vitrectomy, and 201.8 microm at 1 week, 198.8 microm at 1 month, and 196.4 microm at 3 months postoperatively. There were no significant differences between the times of measurement. MH was 182.5 microm before vitrectomy, and 186.7 microm at 1 week, 189.4 microm at 1 month, and 187.4 microm at 3 months. There were also no significant differences between any other factors. The SCT between the ERM and MH was not significantly different at any time. We examined the correlation between the changes in SCT and the changes in age, refractive error and intraocular pressure (IOP), but found no significant correlation.

CONCLUSION

The SCT hat not changed either before or after microincision vitrectomy surgery, and there was no siginificant correlation between SCT and any other factor.

摘要

目的

评估视网膜前膜(ERM)和黄斑裂孔(MH)在微创玻璃体切割手术前后的黄斑中心凹下脉络膜厚度(SCT)。

对象与方法

对104例受试者的104只眼(64只ERM眼,40只MH眼,平均年龄68.9岁)进行评估。所有受试者均接受玻璃体切割联合内界膜剥除术。在玻璃体切割术前、术后1周、1个月和3个月测量SCT。使用海德堡Spectralis通过增强深度成像光学相干断层扫描(EDI-OCT)测量SCT。

结果

ERM组玻璃体切割术前SCT为202.6微米,术后1周为201.8微米,1个月为198.8微米,3个月为196.4微米。各测量时间点之间无显著差异。MH组玻璃体切割术前SCT为182.5微米,术后1周为186.7微米,1个月为189.4微米,3个月为187.4微米。其他任何因素之间也无显著差异。ERM组和MH组在任何时间点的SCT均无显著差异。我们检查了SCT变化与年龄、屈光不正和眼压(IOP)变化之间的相关性,但未发现显著相关性。

结论

微创玻璃体切割手术前后SCT均未改变,且SCT与任何其他因素之间均无显著相关性。

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