两种不同术式治疗特发性黄斑裂孔的疗效分析

doi:10.3969/j.issn.1006-6233.2018.06.024

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Abstract Objective: To compare the effect of vitrectomy, internal boundary membrane (ILM) avulsion and overturn coverage combined with air filling (cover group) and vitrectomy, internal boundary membrane simple stripping combined with air filling (stripping group) for the treatment of idiopathic macular hole (IMH). Methods: For patients with IMH, the diameter of the foramen was smaller than 400 mu m, and the total diameter of the eyes was 30 eyes and the diameter of >400 hole was 42 >400. The best corrected visual acuity, the closure of hiatus, the rate of closure of the foramen and the complications were observed before and after operation. Results: In the patients with MH diameter less than 400 u m, the visual acuity of the two groups increased, the difference was not statistically significant (P=0.98). All the patients were closed after the operation, and there was no statistical difference between the two groups (P>0.05). The visual acuity of the two groups in the two groups was higher than that of the cover group (P=0.04), and the closure rate in the stripping group was higher than that of the cover group (P=0.022). There were no serious complications after operation in the two groups. Conclusion: Vitrectomy, internal boundary membrane cover combined with air filling can effectively treat IMH, but for patients with larger MH diameter and IV stage with split hole stage, it is suggested that inert gas should be filled to improve the success rate.

Key words： Idiopathic macular hole Inner limiting member peeling(ILMP) Air filled Rotate of inner limiting member

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.06.024 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I6/973

[1] 吴鹏,黄旭东,孙先勇,等.视网膜内界膜移植术在特发性黄斑裂孔手术治疗中的应用[J].滨州医学院学报,2014(2):98~101.
[2] Michalewska Z, Michalewski J,Nawrocki J.Macular hole closure after vitrectomy:the inverted flap technique[J]. Retina Today,2009,3(1):73~74
[3] Kelly NE,Wendel RT. Vitreous Surgery for Idiopathic Maeular Holes. Results of a Pilot Study[J]. Arch Ophthalmol,1991,109( 5) : 654~659.
[4] 董方田,杨治坤,邹绚.未愈合特发性黄斑裂孔的新型手术方式:游离内界膜移植[J].协和医学杂志,2013,4(4):425~428
[5] Mahalingam P, Sambhav K. Surgical outcomes of inverted internal limiting membrane flap technique for large macular hole[J]. Indian Ophthalmol, 2013, 61(10): 601~603.
[6] Song Z, Li M, Liu J, et al. Viscoat assisted inverted internal limiting membrane flap technique for large macular holes associated with high myopia[J].Ophthalmol, 2016, 2016:8283062.
[7] Shin MK, Park KH, Park SW, et al.Perfluoro-n-octane-assisted single-layered inverted internal limiting membrane flap technique for macular hole surgery[J].Retina, 2014, 34(9): 1905~1910.
[8] Imai H, Azumi A. The expansion of RPE atrophy after the inverted IML flap technique for a chronic large macular hole[J]. Case Rep Ophthalmol, 2014, 5(1): 83~86.
[9] HasegawaY,HataY,MochizukiY,eta1.Equivalent tamponade by room air as compared with SF(6) after macular hole surgery[J]GraefesArch Clin ExpOphthalmol,2009,247:1455~1459.
[10] 陶明, 李艳, 张文芳.特发性黄斑裂孔玻璃体切除手术联合空气填充的临床观察[J].国际眼科杂志,2015(11):2006~2008.
[11] 陶明,张文芳,李艳,等.黄斑裂孔玻璃体切割联合空气和SF6填充对比临床观察[J].中国实用眼科杂志,2015,33(7):785~788.
[12] 鲁静,马志中.玻璃体切割手术联合空气或C3F8填充治疗特发性黄斑裂孔的疗效对比观察[J].中华眼底病杂志,2016,32(5):473~477.