Mason John O, Patel Shyam A
Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, AL, USA ; Retina Consultants of Alabama, Callahan Eye Foundation Hospital, Birmingham, AL, USA.
Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, AL, USA.
Clin Ophthalmol. 2015 Oct 23;9:1999-2003. doi: 10.2147/OPTH.S94948. eCollection 2015.
To study the efficacy of epiretinal membrane (ERM) peeling in eyes with dry age-related macular degeneration (AMD).
We retrospectively analyzed patient charts on 17 eyes (16 patients) that underwent ERM peeling with a concurrent diagnosis of dry AMD.
Eyes with concurrent dry AMD and with a good preoperative best-corrected visual acuity (BCVA) (better than or equal to 20/50) had a statistically significant mean BCVA improvement at 6 months after ERM peeling. There was a statistical increase in mean BCVA from 20/95 to 20/56 in dry AMD eyes, and no eyes showed worsening in BCVA at 6 months or at most recent follow-up. Five/seventeen (29.4%) eyes had cataract formation or progression. There were no other complications, reoperations, or reoccurrences.
ERM peeling in eyes with dry AMD may show significant improvement, especially in eyes with good preoperative BCVA. The procedure is relatively safe with low complications and reoccurrences.
研究视网膜前膜（ERM）剥除术治疗干性年龄相关性黄斑变性（AMD）的疗效。
我们回顾性分析了17只眼（16例患者）的病历，这些患者在诊断为干性AMD的同时接受了ERM剥除术。
术前最佳矫正视力（BCVA）良好（优于或等于20/50）的干性AMD患者，在ERM剥除术后6个月，平均BCVA有统计学意义的显著改善。干性AMD患者的平均BCVA从20/95提高到20/56，且在6个月或最近一次随访时，没有眼睛的BCVA恶化。17只眼中有5只（29.4%）出现白内障形成或进展。没有其他并发症、再次手术或复发情况。
干性AMD患者行ERM剥除术可能会有显著改善，尤其是术前BCVA良好的患者。该手术相对安全，并发症和复发率低。
