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在10年的时间里,对于黄斑孔的玻璃切除术后,手术结果和眼睛参数值的差异
Tomohiko Torikai1,2, Hiromi Ohara1, Jun Takeuchi1
1Kyorin Eye Center, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka 186-8611, Japan.
Journal of clinical medicine
|January 28, 2026
概括
在过去的十年中,带有斑点孔的眼睛 (MHs) 显示轴长度 (ALs) 增加,近视MHs的发病率更高. 手术结果仍然相似,但患者的个人资料正在转变.
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
- 手术结果分析手术结果分析
背景情况:
- 黄斑孔 (MH) 和异常性视网膜膜 (ERM) 手术是常见的视网膜手术.
- 了解患者特征和手术结果的变化对于临床实践至关重要.
研究的目的:
- 为了比较黄斑孔 (MH) 和视网膜 (ERM) 病例之间的外科结果.
- 为了评估轴长 (AL) 对10年内MH手术结果的影响.
主要方法:
- 在10年内对663只MH眼睛和1948只ERM眼睛进行玻璃切除术的回顾性审查.
- 早期 (2014-2018) 和晚期 (2019-2023) 队列之间的临床特征和手术结果的比较.
- 对轴长度 (AL) 变化及其与 MH 特性相关性的分析.
主要成果:
- 在两个MH队伍之间,MH直径,闭合率或视力敏度没有显著差异.
- 在后期的MH队列中,反向内部限制膜技术的使用增加 (58%对24%).
- 在较晚的MH队列中,平均AL显著更长 (25.2毫米对24.6毫米),近视MH的发病率更高 (AL≥26毫米和≥30毫米).
结论:
- 患有MHS的患者概况已经演变,其特点是轴长度增加和近视MHS的比例增加.
- 虽然手术技术已经进步,但不断变化的患者人口统计数据需要注意.
- 在MH病例中,较长的轴长度表明,在过去十年中,近视患者人群转向更近视.
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