Guber Josef, Scholl Hendrik P N, Valmaggia Christophe
Eye Clinic, Cantonal Hospital St. Gallen, St. Gallen,
Department of Ophthalmology, University of Basel, Basel,
Ophthalmologica. 2019;241(1):56-60. doi: 10.1159/000493349. Epub 2018 Oct 11.
To evaluate functional and anatomical outcomes after pars plana vitrectomy (PPV) in patients with epiretinal membrane associated with lamellar hole (LH).
All patients who underwent PPV with epiretinal membrane peeling associated with an LH from January 2016 to December 2017 were included. Each patient received a complete ophthalmological examination including best-corrected visual acuity using Snellen charts (in decimal form; converted to logMAR) and spectral domain optical coherence tomography (SD-OCT) before surgery as well as 3 months after surgery. In all patients, the contour of the LH was postoperatively graded using SD-OCT images.
A total of 36 consecutive patients (36 eyes) with LH associated with epiretinal membrane were reviewed. Most of the patients had normalization or at least an improvement of the LH contour postoperatively (p < 0.001). Median logMAR improved significantly after surgery from 0.3 to 0.2 (p < 0.001).
PPV with epiretinal membrane peeling in symptomatic patients with LH caused by epiretinal membrane is a safe treatment with favorable functional and anatomical short-term outcomes.
评估伴有板层裂孔（LH）的视网膜前膜患者行玻璃体切除术（PPV）后的功能和解剖学结果。
纳入2016年1月至2017年12月期间接受PPV联合LH相关视网膜前膜剥除术的所有患者。每位患者在手术前以及手术后3个月均接受了全面的眼科检查，包括使用Snellen视力表（以小数形式表示；转换为logMAR）测量最佳矫正视力以及进行光谱域光学相干断层扫描（SD-OCT）。所有患者术后均使用SD-OCT图像对LH的轮廓进行分级。
共回顾性分析了36例连续的伴有视网膜前膜的LH患者（36只眼）。大多数患者术后LH轮廓恢复正常或至少有所改善（p < 0.001）。术后logMAR中位数从0.3显著改善至0.2（p < 0.001）。
对于由视网膜前膜引起的有症状LH患者，行PPV联合视网膜前膜剥除术是一种安全的治疗方法，具有良好的短期功能和解剖学结果。
