高度近视眼黄斑视网膜劈裂的黄斑扣带术手术效果
Surgical outcomes of macular buckling techniques for macular retinoschisis in highly myopic eyes.
作者信息
Mateo Carlos, Gómez-Resa María V, Burés-Jelstrup Anniken, Alkabes Micol
机构信息
IMO Instituto de Microcirugía Ocular, Barcelona, Spain.
出版信息
Saudi J Ophthalmol. 2013 Oct;27(4):235-9. doi: 10.1016/j.sjopt.2013.08.001. Epub 2013 Aug 28.
PURPOSE
To report the anatomic and visual results following macular buckling for patients with macular retinoschisis related to high myopia.
METHODS
Thirty-nine highly myopic eyes (mean refractive error -16.7 D; range, -9 to -24 D) of 36 patients (mean age 59 years; range, 35-79 years) presenting with macular retinoschisis associated with a posterior staphyloma, who underwent combined vitrectomy and macular buckling were evaluated. Main outcome measures included best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) findings. Three cases were excluded due to short follow-up (less than 3 months). The mean follow-up was 16 months.
RESULTS
The mean BCVA increased from 0.76 to 0.43 LogMAR (p = 0.001). Visual acuity improved in 30 eyes (83.3%), remained stable in three eyes (8.3%) and decreased in three eyes (8.3%). OCT showed resolution of foveoschisis with foveal reattachment in all eyes. None of the evaluated patients developed a macular hole during follow-up.
CONCLUSION
Macular buckling associated with vitrectomy results in good anatomic and visual outcomes in patients with myopic foveoschisis.
目的
报告高度近视相关性黄斑视网膜劈裂患者黄斑扣带术后的解剖学和视力结果。
方法
对36例（平均年龄59岁；范围35 - 79岁）患有与后巩膜葡萄肿相关的黄斑视网膜劈裂的高度近视患者（39只眼，平均屈光不正-16.7D；范围-9至-24D）进行了评估，这些患者接受了玻璃体切除术联合黄斑扣带术。主要观察指标包括最佳矫正视力（BCVA）和光学相干断层扫描（OCT）结果。3例因随访时间短（少于3个月）被排除。平均随访时间为16个月。
结果
平均BCVA从0.76提高到0.43 LogMAR（p = 0.001）。30只眼（83.3%）视力提高，3只眼（8.3%）视力保持稳定，3只眼（8.3%）视力下降。OCT显示所有眼中黄斑裂孔均消失，黄斑复位。随访期间，所有评估患者均未出现黄斑裂孔。
结论
玻璃体切除术联合黄斑扣带术可使近视性黄斑裂孔患者获得良好的解剖学和视力结果。
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