Jasielska Monika, Bieliński Paweł, Tomaszewska Joanna, Jarosławska Elzbieta, Mackiewicz Jerzy
Klin Oczna. 2013;115(4):285-90.
to evaluate morphological and functional macular changes after surgical treatment of idiopathic macular hole.
a retrospective study included 25 patients (30 eyes) who underwent surgery for idiopathic macular hole. Male patients constituted 27% and female patients 73% of the study group. Mean age was 67 years. All patients underwent pars plana vitrectomy with internal limiting membrane peeling and gas tamponade (C3F8 or SF6). We evaluated age, sex, best corrected visual acuity as well a optical coherence tomography scans prior to surgery and postoperatively. The mean follow-up was 6 months.
the mean preoperative best corrected visual acuity was 0.15 in Snellen charts (≤ 0.1 - 13 eyes, > 0.1 - 17 eyes) and it increased to 0.5 postoperatively. Five eyes were preoperatively classified as stage 2 Gass scale, 13 eyes as stage 3 and 13 eyes as stage 4. Postoperatively, 25 eyes were assorted as "U" shaped and 5 as "V" shape closure.
surgical treatment of macular hole with pars plana vitrectomy significantly improves macular function measured by the best corrected visual acuity. The "U" shaped closure of macular hole promotes better visual outcomes.
评估特发性黄斑裂孔手术治疗后黄斑的形态和功能变化。
一项回顾性研究纳入了25例（30只眼）接受特发性黄斑裂孔手术的患者。研究组中男性患者占27%，女性患者占73%。平均年龄为67岁。所有患者均接受了玻璃体切除术联合内界膜剥除及气体填充（C3F8或SF6）。我们评估了患者的年龄、性别、最佳矫正视力以及手术前后的光学相干断层扫描结果。平均随访时间为6个月。
术前最佳矫正视力在Snellen视力表上平均为0.15（≤0.1 - 13只眼，>0.1 - 17只眼），术后提高到了0.5。术前5只眼根据Gass分期为2期，13只眼为3期，13只眼为4期。术后，25只眼呈“U”形闭合，5只眼呈“V”形闭合。
经平坦部玻璃体切除术治疗黄斑裂孔可显著改善以最佳矫正视力衡量的黄斑功能。黄斑裂孔的“U”形闭合可促进更好的视觉效果。
