中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
11期
1321-1323
,共3页
黄斑前膜%玻璃体切割手术%黄斑中心凹厚度%视力
黃斑前膜%玻璃體切割手術%黃斑中心凹厚度%視力
황반전막%파리체절할수술%황반중심요후도%시력
Epiretinal membrane%Vitrectomy%Central foveal thickness%Visual acuity
目的 研究特发性黄斑前膜(Idiopathic macular epiretinal membrane,IMEM)经玻璃体切割联合黄斑前膜剥除手术后,黄斑解剖结构及视功能恢复情况,探讨影响IMEM术后视力恢复的因素.方法 临床病例系列研究.对2012年2月至2013年7月在安阳眼科医院入院行手术治疗的IMEM患者52例(54只眼),收集患者术前的最佳矫正视力(best corrected visual acuity,BCVA)、黄斑中心凹厚度(central foveal thickness,CFT),视物变形情况,术后随访4～8个月,平均(6.5±1.1)个月,所得数据进行配对资料t检验和pearson相关性分析.结果 IMEM患者术前术后BCVA对比差异有统计学意义,P ＜0.05(t=2.17;P=0.04),术前、术后CFT比较差异有统计学意义,P＜0.05(t=9.75;P =0.00),术前CFT与术前视力及术后视力经Pearson相关性分析差异无统计学意义(r=0.03,0.17;P =0.81,0.23),术后CFT与术后视力经相关性分析差异有统计学意义(r=0.27;P=0.05),术前BC-VA与术后BCVA经相关性分析差异有统计学意义(r=0.78;P=0.00),术前CFT与术后CFT经相关性分析差异有统计学意义(r=0.47;P=0.00).结论 经玻璃体切割联合黄斑前膜剥除手术后,IMEM患者CFT较术前降低,视力有所提高,但是术前CFT似对患者最终的视力恢复无明显关系,患者术后恢复更多取决于术前的视力,而不是黄斑中心凹的厚度.
目的 研究特髮性黃斑前膜(Idiopathic macular epiretinal membrane,IMEM)經玻璃體切割聯閤黃斑前膜剝除手術後,黃斑解剖結構及視功能恢複情況,探討影響IMEM術後視力恢複的因素.方法 臨床病例繫列研究.對2012年2月至2013年7月在安暘眼科醫院入院行手術治療的IMEM患者52例(54隻眼),收集患者術前的最佳矯正視力(best corrected visual acuity,BCVA)、黃斑中心凹厚度(central foveal thickness,CFT),視物變形情況,術後隨訪4～8箇月,平均(6.5±1.1)箇月,所得數據進行配對資料t檢驗和pearson相關性分析.結果 IMEM患者術前術後BCVA對比差異有統計學意義,P ＜0.05(t=2.17;P=0.04),術前、術後CFT比較差異有統計學意義,P＜0.05(t=9.75;P =0.00),術前CFT與術前視力及術後視力經Pearson相關性分析差異無統計學意義(r=0.03,0.17;P =0.81,0.23),術後CFT與術後視力經相關性分析差異有統計學意義(r=0.27;P=0.05),術前BC-VA與術後BCVA經相關性分析差異有統計學意義(r=0.78;P=0.00),術前CFT與術後CFT經相關性分析差異有統計學意義(r=0.47;P=0.00).結論 經玻璃體切割聯閤黃斑前膜剝除手術後,IMEM患者CFT較術前降低,視力有所提高,但是術前CFT似對患者最終的視力恢複無明顯關繫,患者術後恢複更多取決于術前的視力,而不是黃斑中心凹的厚度.
목적 연구특발성황반전막(Idiopathic macular epiretinal membrane,IMEM)경파리체절할연합황반전막박제수술후,황반해부결구급시공능회복정황,탐토영향IMEM술후시력회복적인소.방법 림상병례계렬연구.대2012년2월지2013년7월재안양안과의원입원행수술치료적IMEM환자52례(54지안),수집환자술전적최가교정시력(best corrected visual acuity,BCVA)、황반중심요후도(central foveal thickness,CFT),시물변형정황,술후수방4～8개월,평균(6.5±1.1)개월,소득수거진행배대자료t검험화pearson상관성분석.결과 IMEM환자술전술후BCVA대비차이유통계학의의,P ＜0.05(t=2.17;P=0.04),술전、술후CFT비교차이유통계학의의,P＜0.05(t=9.75;P =0.00),술전CFT여술전시력급술후시력경Pearson상관성분석차이무통계학의의(r=0.03,0.17;P =0.81,0.23),술후CFT여술후시력경상관성분석차이유통계학의의(r=0.27;P=0.05),술전BC-VA여술후BCVA경상관성분석차이유통계학의의(r=0.78;P=0.00),술전CFT여술후CFT경상관성분석차이유통계학의의(r=0.47;P=0.00).결론 경파리체절할연합황반전막박제수술후,IMEM환자CFT교술전강저,시력유소제고,단시술전CFT사대환자최종적시력회복무명현관계,환자술후회복경다취결우술전적시력,이불시황반중심요적후도.
Objective To study the influence of anatomic preoprerative characteristics and functional characteristics on functional recovery after epiretinal membrane surgery.Methods There were 52 cases (54 eyes).Best corrected visual acuity (BCVA),metamorphopsia,central foveal thickness (CFT) before and after surgery were analyzed.All data was collected during the followed up period about (6.5±1.1) months.Results There were significant difference between preoperative and postoperative on BCVA (P =0.04).There were significant different between preoperative and postoperative on CFT (P =0.00).No significant correlation was found between preoperative or postoperative BCVA and preoperative CFT (r =0.03,0.17; P =0.81,0.23).There were little correlation between postoperative CFT and postoperative BCVA (r =0.27; P =0.05).A significant correlation was found between preoperative and postoperative BCVA (r =0.78; P =0.00),and common correlation was found between preoperative and postoperative CFT (r =0.47; P =0.00).Conclusions An improvement is observed in BCVA and CFT after epiretinal membrane surgery.A significant correlation is found between preoperative and postoperative on BCVA,but not between BCVA and CFT.
