Babu Naresh, Kohli Piyush, Ramachandran N Obuli, Ramasamy Kim
Ophthalmic Surg Lasers Imaging Retina. 2018 Dec 1;49(12):941-945. doi: 10.3928/23258160-20181203-06.
To compare the surgical performance of internal limiting membrane (ILM) peeling in idiopathic macular hole using a digitally assisted vitreoretinal system (DAVS) and an analog microscope (AM).
Patients were operated on using an AM (Group A) and a DAVS (Group B). The data analyzed included surgical time required to complete ILM peeling, number of attempts to create ILM flap and complete ILM peeling, and intraoperative complications.
Each group included 20 patients. The average surgical time for ILM peeling in groups A and B was 123.05 seconds ± 42.23 seconds and 142.35 seconds ± 31.49 seconds, respectively (P = .109). The mean number of surgical attempts to create the ILM flap was 1.05 ± 0.22 and 1.70 ± 1.22 respectively (P = .008). The mean number of surgical attempts to complete ILM peeling was 22.85 ± 9.95 and 27.20 ± 7.16, respectively (P = .121). Retinal touch occurred in one and three patients, respectively (P = .534).
DAVS provides similar surgical performance to AM; however, the creation of ILM flap is difficult with DAVS compared to AM. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:941-945.].
比较使用数字辅助玻璃体视网膜系统（DAVS）和模拟显微镜（AM）进行特发性黄斑裂孔内界膜（ILM）剥除的手术效果。
患者分别使用AM（A组）和DAVS（B组）进行手术。分析的数据包括完成ILM剥除所需的手术时间、制作ILM瓣和完成ILM剥除的尝试次数以及术中并发症。
每组各有20例患者。A组和B组ILM剥除的平均手术时间分别为123.05秒±42.23秒和142.35秒±31.49秒（P = 0.109）。制作ILM瓣的平均手术尝试次数分别为1.05±0.22和1.70±1.22（P = 0.008）。完成ILM剥除的平均手术尝试次数分别为22.85±9.95和27.20±7.16（P = 0.121）。视网膜触碰分别发生在1例和3例患者中（P = 0.534）。
DAVS与AM的手术效果相似；然而，与AM相比，使用DAVS制作ILM瓣较为困难。[《眼科手术、激光与视网膜影像》。2018年；49:941 - 945。]
