Avci R, Kapran Z, Ozdek Ş, Teke M Y, Oz O, Guven D, Yilmaz S, Kaderli B, Durukan A H, Sobaci G, Unver Y B, Akduman L, Kaynak S, Dogan I, Inan U U
Department of Ophthalmology, Retina Eye Hospital, Bursa, Turkey.
Department of Ophthalmology, Maltepe University Medical School, Istanbul, Turkey.
Eye (Lond). 2017 Sep;31(9):1266-1273. doi: 10.1038/eye.2017.142. Epub 2017 Jul 21.
PurposeTo evaluate surgical intervention with pars plana vitrectomy (PPV) for correction of optic disc pit maculopathy (ODP-M).Patients and methodsRetrospective chart review from 13 centres of 51 eyes of 50 patients with ODP-M who underwent PPV between 2002-2014. Anatomic and final best-corrected visual acuity (BCVA) outcomes were evaluated for all cases with different adjuvant techniques.ResultsThere were 23 males and 27 females with median age 25.5 (6-68) years. Preoperative median foveal thickness was 694.5 (331-1384) μm and improved to 252.5 (153-1405) μm. Median BCVA improved from 20/200 (20/20000 to 20/40) to 20/40 (20/2000 to 20/20) with 20/40 or better in 31 eyes. Complete retinal reattachment was achieved in 44 eyes (86.3%) at 7.1 (5.9) months. The good surgical outcomes were achieved in different adjuvant groups. Median follow-up was 24 (6 to 120) months.ConclusionsThese results confirm the long-term effectiveness of PPV for ODP-M. Prospective studies are needed to determine the effectiveness of any adjuvant technique in improving the success of PPV for ODP-M.
目的
评估采用玻璃体切除术（PPV）矫正视盘小凹黄斑病变（ODP - M）的手术干预效果。
患者与方法
回顾性分析2002年至2014年间13个中心50例ODP - M患者的51只眼睛接受PPV手术的病历。对所有采用不同辅助技术的病例评估其解剖学和最终最佳矫正视力（BCVA）结果。
结果
患者中有23名男性和27名女性，年龄中位数为25.5岁（6 - 68岁）。术前黄斑中心凹厚度中位数为694.5μm（331 - 1384μm），术后改善至252.5μm（153 - 1405μm）。BCVA中位数从20/200（20/20000至20/40）提高到20/40（20/2000至20/20），31只眼睛的视力达到20/40或更好。44只眼睛（86.3%）在7.1个月（5.9个月）时实现了视网膜完全复位。不同辅助治疗组均取得了良好的手术效果。中位随访时间为24个月（6至120个月）。
结论
这些结果证实了PPV治疗ODP - M的长期有效性。需要进行前瞻性研究以确定任何辅助技术在提高PPV治疗ODP - M成功率方面的有效性。
