特发性视网膜前膜行玻璃体后皮质切除术联合内界膜剥除术后视觉预后的相关预后因素
Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane.
作者信息
Laban Kamil G, Scheerlinck Laura M E, van Leeuwen Redmer
机构信息
Department of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands.
出版信息
Ophthalmologica. 2015;234(3):119-26. doi: 10.1159/000438677. Epub 2015 Aug 26.
PURPOSE
Pars plana vitrectomy with internal limiting membrane peeling for idiopathic epiretinal membrane has shown varying results. More data are needed on the factors associated with visual outcome.
METHODS
We extracted baseline clinical characteristics, optical coherence tomography (OCT) characteristics and 3-month postoperative best-corrected visual acuity (BCVA). Linear regression analysis was used to evaluate whether baseline and OCT characteristics are associated with BCVA at 3 months as well as BCVA difference.
RESULTS
Out of 82 operated eyes, 66 (80%) had a 3-month follow-up, and 47 (71%) showed a 3-month postoperative improvement. Preoperative BCVA was an independent determinant of postoperative BCVA (r = 0.31; p < 0.01) and BCVA difference (r = 0.68; p < 0.01). Other baseline and OCT characteristics showed no independent associations with postoperative outcome.
CONCLUSION
Better preoperative BCVA predicts better postoperative BCVA. Other baseline and OCT characteristics are not associated with visual outcome 3 months after surgery.
目的
采用内界膜剥除的玻璃体切除术治疗特发性视网膜前膜，其效果各异。需要更多关于与视觉预后相关因素的数据。
方法
我们提取了基线临床特征、光学相干断层扫描（OCT）特征以及术后3个月的最佳矫正视力（BCVA）。采用线性回归分析来评估基线和OCT特征是否与3个月时的BCVA以及BCVA差异相关。
结果
在82只手术眼中，66只（80%）进行了3个月的随访，47只（71%）术后3个月视力有改善。术前BCVA是术后BCVA（r = 0.31；p < 0.01）和BCVA差异（r = 0.68；p < 0.01）的独立决定因素。其他基线和OCT特征与术后结果无独立相关性。
结论
术前BCVA越好，术后BCVA越好。其他基线和OCT特征与术后3个月的视觉预后无关。
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