Manousaridis Kleanthis, Peter Silvia, Mennel Stefan
Ophthalmology Department, State Hospital Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria.
Int Ophthalmol. 2016 Jun;36(3):407-12. doi: 10.1007/s10792-015-0148-5. Epub 2015 Oct 23.
To compare the anatomical and visual outcomes of 20 gauge (g) pars plana vitrectomy (PPV) with indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling and 23 g PPV with brilliant blue G (BBG)-assisted ILM peeling for idiopathic epiretinal membrane (ERM). 38 eyes of 38 patients with idiopathic ERM were included. They were divided in two groups: group 1 (18 eyes) underwent 20 g PPV with ICG-assisted ILM peeling and group 2 (20 eyes) 23 g PPV with BBG-assisted ILM peeling. Postoperative best-corrected visual acuity (BCVA) and central macular thickness (CMT) were compared. Average BCVA in group 1 improved significantly from 0.60 logarithm of the minimal angle of resolution (log MAR) at baseline to 0.3 log MAR postoperatively. Average BCVA in group 2 improved significantly from 0.60 log MAR at baseline to 0.3 log MAR postoperatively. Mean CMT reduced significantly from 473 to 375 μm in group 1 and from 486 to 396 μm in group 2. There were no significant differences in the BCVA and CMT between the groups. Both surgical methods appeared to be safe and provided similar anatomical and visual outcomes.
比较20G经睫状体平坦部玻璃体切除术（PPV）联合吲哚菁绿（ICG）辅助内界膜（ILM）剥除术与23G PPV联合亮蓝G（BBG）辅助ILM剥除术治疗特发性视网膜前膜（ERM）的解剖学和视觉效果。纳入38例特发性ERM患者的38只眼。将其分为两组：第1组（18只眼）行20G PPV联合ICG辅助ILM剥除术，第2组（20只眼）行23G PPV联合BBG辅助ILM剥除术。比较术后最佳矫正视力（BCVA）和中心黄斑厚度（CMT）。第1组平均BCVA从基线时的最小分辨角对数（log MAR）0.60显著提高至术后的0.3 log MAR。第2组平均BCVA从基线时的0.60 log MAR显著提高至术后的0.3 log MAR。第1组平均CMT从473μm显著降至375μm，第2组从486μm降至396μm。两组间BCVA和CMT无显著差异。两种手术方法似乎均安全，且提供相似的解剖学和视觉效果。
