2nd Department of Ophthalmology, National and Kapodistian University of Athens, Athens, Greece.
2nd Department of Ophthalmology, National and Kapodistian University of Athens, Athens, Greece.
Surv Ophthalmol. 2021 Sep-Oct;66(5):771-780. doi: 10.1016/j.survophthal.2021.02.010. Epub 2021 Feb 27.
A macular hole (MH) may be a significant complication in patients with high myopia. The recently reported inverted internal limiting membrane (ILM) flap technique is a promising alternative to treat myopic MHs. We performed a meta-analysis of the published anatomical and functional results of the "inverted ILM flap" technique for the treatment of myopic MH with or without retinal detachment (RD). Our results showed that the inverted ILM flap technique, either covering or insertion, is an effective method for treating myopic MH with or without RD and provides high MH closure, ranging from 91.8% to 97.1%. Despite the high MH closure rate, the pooled visual acuity improvement rate was 77.3% and 66.2% in patients with myopic MH without RD, while it was 95% and 80.3% in patients with myopic MHRD, using "covering" and "insertion" ILM flap technique, respectively. Potential complications included reopening or persistence of MH, development of RD, choroidal detachment, ocular hypertension, and chorioretinal atrophy.
黄斑裂孔（MH）可能是高度近视患者的一个严重并发症。最近报道的内界膜（ILM）翻转瓣技术是治疗近视性 MH 的一种很有前途的替代方法。我们对“翻转 ILM 瓣”技术治疗合并或不合并视网膜脱离（RD）的近视性 MH 的已发表解剖和功能结果进行了荟萃分析。我们的结果表明，翻转 ILM 瓣技术（覆盖或插入）是治疗合并或不合并 RD 的近视性 MH 的有效方法，MH 闭合率较高，范围为 91.8%至 97.1%。尽管 MH 闭合率较高，但在无 RD 的近视性 MH 患者中，使用“覆盖”和“插入”ILM 瓣技术，分别有 77.3%和 66.2%的患者视力提高，而在近视性 MHRD 患者中，这一比例分别为 95%和 80.3%。潜在的并发症包括 MH 重新开放或持续存在、RD 发展、脉络膜脱离、眼压升高和脉络膜视网膜萎缩。
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