Ozturk Yucel, Bolac Ruveyde, Kockar Nadir, Yildiz Merve Beyza, Kose Alev Ozcelik, Kugu Suleyman
Department of Ophthalmology, Health Sciences University Haydarpaşa Numune Training and Research Hospital, Uskudar, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2022 Jun;32(6):758-762. doi: 10.29271/jcpsp.2022.06.758.
To evaluate the anatomical and functional results of macular hole surgery in patients with diabetes mellitus (DM) and hypertension (HT) without retinopathy.
Descriptive comparative study.
Department of Ophthalmology, Health Sciences University Haydarpaşa Numune Training and Research Hospital, Turkey between January 2016 and December 2020.
This study included 141 eyes of 139 patients who underwent pars plana vitrectomy for macular holes. The patients were divided into two groups according to the anatomic closure after surgery. Group 1 (cases) were patients with macular hole closure, and group 2 (controls) were patients whose macular hole was not closed. The patients with and without diabetes mellitus (DM) or hypertension (HT) were compared. All patients did not have retinopathy. After surgery, the anatomical closure rate of the macular hole and the amount of increase in visual acuity were measured. Significance of the difference between the groups was evaluated using chi-square test.
The best-corrected visual acuity (BCVA) was 1.30 logMAR before surgery and 0.7 logMAR after surgery (p<0.001). While BCVA was 1.3 logMAR before surgery in the group with DM, it was 0.7 logMAR after surgery (p<0.001). In the group with HT, BCVA was 1.3 logMAR before surgery and 0.7 logMAR after surgery (p<0.001). The anatomic success rate after surgery in patients with DM was similar to the group without DM (p=0.93). The anatomic success rate after surgery in patients with HT was similar to the group without HT (p=0.46).
In the absence of retinopathy there is no difference between the success rates of the macular hole surgery in patients with or without DM and HT.
Diabetes mellitus, Hypertension, Vitrectomy, Macular hole.
评估无视网膜病变的糖尿病（DM）和高血压（HT）患者黄斑裂孔手术的解剖学和功能结果。
描述性比较研究。
2016年1月至2020年12月期间，土耳其海达尔帕夏努穆内培训和研究医院眼科。
本研究纳入了139例因黄斑裂孔接受玻璃体切割术的患者的141只眼。根据术后解剖学闭合情况将患者分为两组。第1组（病例组）为黄斑裂孔闭合的患者，第2组（对照组）为黄斑裂孔未闭合的患者。比较有和无糖尿病（DM）或高血压（HT）的患者。所有患者均无视网膜病变。术后测量黄斑裂孔的解剖学闭合率和视力提高量。使用卡方检验评估组间差异的显著性。
术前最佳矫正视力（BCVA）为1.30 logMAR，术后为0.7 logMAR（p<0.001）。DM组术前BCVA为1.3 logMAR，术后为0.7 logMAR（p<0.001）。HT组术前BCVA为1.3 logMAR，术后为0.7 logMAR（p<0.001）。DM患者术后的解剖学成功率与无DM组相似（p=0.93）。HT患者术后的解剖学成功率与无HT组相似（p=0.46）。
在无视网膜病变的情况下，有或无DM和HT的患者黄斑裂孔手术的成功率无差异。
糖尿病；高血压；玻璃体切除术；黄斑裂孔
