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黄斑孔手术作为一个历史的视角
Kazuyuki Kumagai1, Eiji Horie2, Marie Fukami1
1Kamiiida Daiichi General Hospital, Nagoya, Aichi, 462-0802, Japan.
Clinical ophthalmology (Auckland, N.Z.)
|July 15, 2024
概括
随着时间的推移,黄斑孔手术的结果显著改善,早期干预和内部限制膜剥离是关键因素. 传统的ILM剥离对于成功修复黄斑孔至关重要.
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
- 外科手术的结果
背景情况:
- 黄斑孔 (MH) 手术自1991年成立以来一直在发展.
- 了解手术结果的历史进展对于当前的实践至关重要.
研究的目的:
- 为了从历史上评估黄斑孔 (MH) 手术的结果.
- 为了确定影响手术成功的因素,随着时间的推移.
主要方法:
- 从1990年至2016年接受MH手术的1032只眼睛 (949名患者) 的回顾性审查.
- 科特雷切除术包括后面的hyaloid和epiretinal膜的去除,SF6气体的吸水和1周的面向下定位.
- 1998年以后,内部限制膜 (ILM) 剥离被采用为标准;手术分为四个阶段.
主要成果:
- 最初的关闭率从61.3%提高到96.4%,跨时期.
- 最终视力敏度 (VA) 改善,比率为0.5或更好,从48.2%增加到88.8%.
- 洞的持续时间和ILM剥离是解剖学和功能结果的重要预测因素.
结论:
- 在MH手术中,有利的结果主要与早期的手术干预和传统的ILM剥离有关.
- 传统的ILM剥离单独可能足以实现有利的结果.
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