Department of Ophthalmology, Toho University Ohashi Medical Center, 2-22-36, Ohashi, Meguro-ku, Tokyo, 153-8515, Japan.
Department of Ophthalmology, Teikyo University School of Medicine, University Hospital Mizonokuchi, Kanagawa, Japan.
Sci Rep. 2024 Jan 2;14(1):59. doi: 10.1038/s41598-023-51032-0.
Even after idiopathic macular hole (MH) surgery and with successful closure of MH, aniseikonia is a common postoperative symptom. We investigated the correlation of MH diameter, retinal displacement and retinal layer thicknesses with aniseikonia in 41 eyes of 41 patients undergoing MH surgery with internal limiting membrane peeling. Aniseikonia was measured with the New Aniseikonia Test. Retinal displacement (RD%) was defined as change of retinal distance between the temporal margin of the optic papilla and the intersection of the retinal vessels. Changes of thicknesses of the inner nuclear layer (INL%) and the outer retinal layer (OR%) were calculated. Aniseikonia improved postoperatively. Preoperative aniseikonia and their improvement at 6 months correlated with MH diameters (P = 0.004-0.046). Improvement of aniseikonia correlated with temporal RD% (P = 0.002-0.012). Improvement of vertical aniseikonia correlated with INL% at 2 weeks and with the nasal OR% at 1, 3, and 6 months (P = < 0.001-0.028). MH diameter and age were significant predictors for improvement of aniseikonia. The greater the temporal retina displacement, and the thinner the postoperative INL and OR, the greater the improvement of aniseikonia. MH diameter and age are strong predictors for improvement of aniseikonia after MH surgery.
即使在特发性黄斑裂孔 (MH) 手术后 MH 成功闭合后， 复视也是一种常见的术后症状。我们研究了 41 例接受 MH 内界膜剥除手术患者的 41 只眼的 MH 直径、视网膜移位和视网膜层厚度与复视的相关性。使用新型复视测试测量复视。视网膜位移（RD%）定义为视乳头颞侧边缘与视网膜血管交点之间视网膜距离的变化。计算内核层（INL%）和外视网膜层（OR%）厚度的变化。术后复视得到改善。术前复视及其术后 6 个月的改善与 MH 直径相关（P = 0.004-0.046）。复视的改善与颞侧 RD%相关（P = 0.002-0.012）。垂直复视的改善与术后 2 周的 INL%和术后 1、3 和 6 个月的鼻侧 OR%相关（P = <0.001-0.028）。MH 直径和年龄是复视改善的重要预测因素。颞侧视网膜移位越大，术后 INL 和 OR 越薄，复视改善越大。MH 直径和年龄是 MH 手术后复视改善的强有力预测因素。
