国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2013年
11期
2293-2295
,共3页
特发性黄斑裂孔%玻璃体切割术%内界膜剥除术%OCT%黄斑裂孔指数%术后最佳矫正视力
特髮性黃斑裂孔%玻璃體切割術%內界膜剝除術%OCT%黃斑裂孔指數%術後最佳矯正視力
특발성황반렬공%파리체절할술%내계막박제술%OCT%황반렬공지수%술후최가교정시력
idiopathic macular hole%vitrectomy%internal limiting membrane peeling%OCT%macular hole index%postoperative best corrected visual acuity
目的：应用光学相干断层扫描（ OCT）进行对玻璃体切割联合内界膜剥除术治疗的特发性黄斑裂孔（ IMH）患者术前术后的裂孔形态观察，分析影响视力预后的因素，为有效预测术后视力提供潜在指标。方法：选取患者32例（男7例，女25例）行玻璃体切割联合内界膜剥除，膨胀气体充填手术的IMH患者，对其均进行术前术后的OCT检查和眼科常规检查。取随访期间最佳矫正视力（ BCVA），利用OCT的分析模式，分别测量手术前黄斑裂孔的最小直径、基底直径、裂孔高度、黄斑区视网膜厚度。用SPSS13．0软件包，比较术前黄斑裂孔自身形态测量值与术后BCVA的相关性。结果：术后BCVA与术前黄斑裂孔的最小直径和基底直径（r＝-0．524，-0．610， P＜0．01）呈负相关；与裂孔高度，黄斑区视网膜厚度（r＝-0．064，0．003， P＞0．05）无明显相关性；与术前黄斑裂孔（ maculer hole index ， MHI），临床观察，取MHI＝0．5为分界值，MHI≥0．5组的患者术后视力明显优于MHI＜0．5组（Mann-Whitney Test， P＜0．01）；手术治疗后的IMH患者BCVA较术前明显提高。结论：黄斑裂孔的最小直径，基底直径越小，术后视力恢复越好。 MHI计算简便，MHI≥0．5的患者手术后视力恢复较好，可作为手术选择的指标。玻璃体切割联合内界膜剥除手术治疗特发性黄斑裂孔有良好效果。
目的：應用光學相榦斷層掃描（ OCT）進行對玻璃體切割聯閤內界膜剝除術治療的特髮性黃斑裂孔（ IMH）患者術前術後的裂孔形態觀察，分析影響視力預後的因素，為有效預測術後視力提供潛在指標。方法：選取患者32例（男7例，女25例）行玻璃體切割聯閤內界膜剝除，膨脹氣體充填手術的IMH患者，對其均進行術前術後的OCT檢查和眼科常規檢查。取隨訪期間最佳矯正視力（ BCVA），利用OCT的分析模式，分彆測量手術前黃斑裂孔的最小直徑、基底直徑、裂孔高度、黃斑區視網膜厚度。用SPSS13．0軟件包，比較術前黃斑裂孔自身形態測量值與術後BCVA的相關性。結果：術後BCVA與術前黃斑裂孔的最小直徑和基底直徑（r＝-0．524，-0．610， P＜0．01）呈負相關；與裂孔高度，黃斑區視網膜厚度（r＝-0．064，0．003， P＞0．05）無明顯相關性；與術前黃斑裂孔（ maculer hole index ， MHI），臨床觀察，取MHI＝0．5為分界值，MHI≥0．5組的患者術後視力明顯優于MHI＜0．5組（Mann-Whitney Test， P＜0．01）；手術治療後的IMH患者BCVA較術前明顯提高。結論：黃斑裂孔的最小直徑，基底直徑越小，術後視力恢複越好。 MHI計算簡便，MHI≥0．5的患者手術後視力恢複較好，可作為手術選擇的指標。玻璃體切割聯閤內界膜剝除手術治療特髮性黃斑裂孔有良好效果。
목적：응용광학상간단층소묘（ OCT）진행대파리체절할연합내계막박제술치료적특발성황반렬공（ IMH）환자술전술후적렬공형태관찰，분석영향시력예후적인소，위유효예측술후시력제공잠재지표。방법：선취환자32례（남7례，녀25례）행파리체절할연합내계막박제，팽창기체충전수술적IMH환자，대기균진행술전술후적OCT검사화안과상규검사。취수방기간최가교정시력（ BCVA），이용OCT적분석모식，분별측량수술전황반렬공적최소직경、기저직경、렬공고도、황반구시망막후도。용SPSS13．0연건포，비교술전황반렬공자신형태측량치여술후BCVA적상관성。결과：술후BCVA여술전황반렬공적최소직경화기저직경（r＝-0．524，-0．610， P＜0．01）정부상관；여렬공고도，황반구시망막후도（r＝-0．064，0．003， P＞0．05）무명현상관성；여술전황반렬공（ maculer hole index ， MHI），림상관찰，취MHI＝0．5위분계치，MHI≥0．5조적환자술후시력명현우우MHI＜0．5조（Mann-Whitney Test， P＜0．01）；수술치료후적IMH환자BCVA교술전명현제고。결론：황반렬공적최소직경，기저직경월소，술후시력회복월호。 MHI계산간편，MHI≥0．5적환자수술후시력회복교호，가작위수술선택적지표。파리체절할연합내계막박제수술치료특발성황반렬공유량호효과。
AIM:To observe the optical coherence tomography ( OCT ) images of idiopathic macular hole ( IMH ) on patients before and after vitrectomy and internal limiting membrane peeling ( ILMP) surgery, and to analyze the relationship between the macular hole configuration and the postoperative best corrected visual acuity so as to offer a potential index to effectively predict visual outcome in eyes with idiopathic macular holes. METHODS:A total of 32 consecutive patients of IMH (7 males, 25 females) receiving the operation of PPV and ILMP were performed with routine ophthalmologic and OCT examination before and after the operation.The best-corrected visual acuity ( BCVA ) in the follow-up period was recorded.The minimum diameter, the base diameter, the hole height before the operation, and the macular retinal thickness before and after the operation were measured respectively by the analytical model of OCT.The correlation between macular hole index ( MHI) and BCVA post operation was analyzed using SPSS 13.0. RESULTS: The negative correlation was observed between the post operative BCVA and the minimum diameter and the base diameter before the operation ( r=-0.524, -0.610, P<0.01 ); There were no significant correlation between the post operative BCVA and the hole height and the macular retinal thickness (r=-0.064, 0.003, P>0.05).The positive correlation was observed between the postoperative BCVA and the MHI before operation (r=0.457, P<0.01); The cut-off value of MHI was defined as 0.5 by clinical observation.Postoperative BCVA in the MHI≥0.5 group was much better than that in the MHI<0.5 group (Mann-Whitney Test, U=30.0, W=135, P<0.01).The postoperative BCVA of patients with IMH was much better than that before the operation. CONCLUSION:The smaller the minimum diameter and the base diameter is, the better the post operative BCVA. The MHI is easy to calculate, and patients of MHI ≥0.5 have a better postoperative BCVA, MHI can be used as clinical evaluation-index for operation selection. The PPV combined with IMLP can effectively treat the IMH based on the OCT result.
