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视网膜前膜玻璃体手术后的长期病程

Long-Term Course Following Vitreous Surgery for Epiretinal Membrane.

作者信息

Kishi Takefumi, Watanabe Akira, Yoshimine Shoyo, Watanabe Tomoyuki, Arai Kota, Gekka Tamaki

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):e105-e111. doi: 10.3928/23258160-20190401-14.

Abstract

BACKGROUND AND OBJECTIVE

To follow the long-term course of visual acuity (VA) and central retinal thickness (CRT) over at least a 3-year follow-up after vitreous surgery in patients with epiretinal membrane (ERM).

PATIENTS AND METHODS

This study examined 43 eyes of patients who underwent 23- or 25-gauge vitreous surgery for ERM.

RESULTS

There was significant improvement of the VA at 3 months after surgery compared with baseline, with the improvements maintained for 5 years (analysis of variance [ANOVA]; P < .05). There was a significant decrease in the mean CRT from 1 month up to 5 years (ANOVA; P < .05). There was also a significantly worse mean VA found for cases exhibiting an outer retinal layer disorder before surgery.

CONCLUSION

Disorders of the outer layer of the retina before surgery have an influence on the VA outcome, with changes sometimes occurring even after the long-term postoperative follow-ups. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e105-e111.].

摘要

背景与目的

观察视网膜前膜(ERM)患者玻璃体手术后至少3年的视力(VA)和视网膜中央厚度(CRT)的长期变化过程。

患者与方法

本研究纳入了43只接受23G或25G玻璃体手术治疗ERM的患眼。

结果

与基线相比,术后3个月时视力有显著改善,且这种改善持续了5年(方差分析[ANOVA];P < 0.05)。从术后1个月至5年,平均CRT显著降低(ANOVA;P < 0.05)。术前存在视网膜外层病变的病例,其平均视力也显著较差。

结论

术前视网膜外层病变会影响视力预后,即使在术后长期随访中,有时仍会发生变化。[《眼科手术、激光与影像学杂志》2019;50:e105 - e111。]

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