黄斑裂孔手术后视觉恢复与椭圆体带反射增强的相关性。
Correlation of Visual Recovery and Increased Ellipsoid Zone Reflectivity After Successful Macular Hole Surgery.
机构信息
Kocaeli University Faculty of Medicine, Department of Ophthalmology, Kocaeli, Turkey.
Dünyagöz Kocaeli Hospital, Clinic of Ophthalmology, Kocaeli, Turkey.
出版信息
Turk J Ophthalmol. 2020 Oct 30;50(5):283-287. doi: 10.4274/tjo.galenos.2020.21456.
OBJECTIVES
To assess changes in reflectivity of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) on spectral domain-optical coherence tomography (SD-OCT) images and the effects of reflectivity changes on visual acuity improvement after vitrectomy in macular hole patients.
MATERIALS AND METHODS
Twenty-four eyes of 24 patients with idiopathic full-thickness macular hole closed after vitrectomy were retrospectively reviewed. The "plot profile" function of the medical imaging software was used by a single masked physician to analyze RPE, EZ, and ELM reflectivity on OCT images at postoperative 1 month and 12 months.
RESULTS
Absolute and relative EZ reflectivity showed highly significant increases at postoperative 12 months compared to 1 month (p<0.001 and p<0.001, respectively). Absolute and relative EZ reflectivity changes from postoperative month 1 to month 12 after macular hole surgery were significantly correlated with best corrected visual acuity improvement (p=0.012 and p=0.020, respectively).
CONCLUSION
EZ reflectivity can be a predictor of functional and anatomical improvement after macular hole surgery.
目的
评估特发性全层黄斑孔手术后玻璃体内切除术后视网膜色素上皮（RPE）、椭圆体带（EZ）和外界膜（ELM）的反射率变化，以及反射率变化对黄斑孔患者视力提高的影响。
材料和方法
回顾性分析 24 例 24 只眼特发性全层黄斑孔闭合后行玻璃体切除术后的病例。由一名单盲医生使用医学成像软件的“绘图分析”功能，在术后 1 个月和 12 个月分析 OCT 图像上的 RPE、EZ 和 ELM 反射率。
结果
术后 12 个月时 EZ 绝对和相对反射率与术后 1 个月相比显著增加（p<0.001 和 p<0.001）。黄斑孔手术后第 1 个月至第 12 个月时 EZ 绝对和相对反射率的变化与最佳矫正视力的提高显著相关（p=0.012 和 p=0.020）。
结论
EZ 反射率可以预测黄斑孔手术后功能和解剖学的改善。
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