80岁以上患者的异常性视网膜外科手术:有效性和安全性
Qingjian Li1, Kunhuan Yang2,3,4,5, Qianlin Ji1
1Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
Clinical ophthalmology (Auckland, N.Z.)
|November 9, 2023
概括
对80岁以上的患者来说,异常性视网膜外科手术是安全有效的. 带有膜剥离的Pars plana玻璃切除术显著改善了老年患者的视力,而不会增加手术并发症.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 老年医学 老年医学
背景情况:
- 异常性视网膜 (ERM) 影响视力,特别是在老年人中.
- 手术干预是常见的,但八十岁的安全性需要具体的评估.
研究的目的:
- 在80岁及以上的患者中评估ERM手术的疗效和安全性.
- 比较老年患者 (≥80岁) 与年轻的对照组 (<80岁) 的结果.
主要方法:
- 帕斯平面玻璃切除术 (PPV) 用ERM和内部限制膜 (ILM) 剥离在后麻醉下.
- 患者分为老年人 (≥80) 和对照组 (<80).
- 最好校正的视力敏度 (BCVA) 和手术并发症是主要的结果指标.
主要成果:
- 在老年人 (p = 0.005) 和对照组 (p < 0.001) 中,BCVA显著改善.
- 两组之间手术并发症率没有显著差异 (p = 0.631).
- 报告没有经过手术的延迟,取消,第二次手术或重大系统性事件 (中风,心脏病发作,死亡).
结论:
- 带有ERM和ILM剥离的Pars plana vitrectomy (PPV) 对于80岁及以上的患者是有效和安全的.
- 仅仅高级年龄不应被认为是异常性ERM手术的禁忌.
- 该程序在老年人群中显示出良好的结果和安全性.
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