{"title":"特发性黄斑视网膜前膜手术的视区结构与功能","authors":"Li Xu, L. Chang, Cong-hui Li","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.05.011","DOIUrl":null,"url":null,"abstract":"Objective \nTo compare the structure morphologyand visual function changes of surgery for idiopathic epimacular membrane(IEMM)withand without internal limiting membrane(ILM)peeling,in idiopathic macular membrane patients. \n \n \nMethods \nAretrospective analysis wasmade for83 patients (84 eyes)with IEMM,according to different treatments divided into two groups,observation group: EMM peeling combined withILMpeeling;control group:single EMM peeling.Followed up for 2 to 12 months to observe the epimacular membranepeeling,macular edema,visual changes,and changes in visual acuity and foveal thickness for linear correlation analysis. \n \n \nResults \nPostoperative visual acuity improved significantly on both groups(P <0.05),epiretinal membrane were successfully stripped.Observation group:40 eyes of 40 cases of macular edema had a recurrent(2.5%);control group:43 cases 44 eyes of 5 recurrent macular edema(11.4%).Edema recurrent rate compared to the two groups was statistically significant(P <0.05),postoperative visual acuity improved margin and margin improvement in foveal thickness correlated positively(observation group,r=0.616,P=0.00;control group,r=0.462,P=0.01). \n \n \nConclusions \nVitrectomy combined internal limitingmembrane peeling cansignificantly improve the success rate and reduce the recurrence of edema and improve visual function,improve visual acuity better,changes in vision and central macular thickness with a positive correlation. \n \n \nKey words: \nIdiopathic macular epiretinal membranes; 23-gaugevitrectomy; Internal limiting membrane peeling; Edema recurrence","PeriodicalId":10236,"journal":{"name":"中国实用眼科杂志","volume":"193 1","pages":"490-493"},"PeriodicalIF":0.0000,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Structure and function of the visual area forms of idiopathic macular epiretinal membrane surgery\",\"authors\":\"Li Xu, L. Chang, Cong-hui Li\",\"doi\":\"10.3760/CMA.J.ISSN.1006-4443.2017.05.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo compare the structure morphologyand visual function changes of surgery for idiopathic epimacular membrane(IEMM)withand without internal limiting membrane(ILM)peeling,in idiopathic macular membrane patients. \\n \\n \\nMethods \\nAretrospective analysis wasmade for83 patients (84 eyes)with IEMM,according to different treatments divided into two groups,observation group: EMM peeling combined withILMpeeling;control group:single EMM peeling.Followed up for 2 to 12 months to observe the epimacular membranepeeling,macular edema,visual changes,and changes in visual acuity and foveal thickness for linear correlation analysis. \\n \\n \\nResults \\nPostoperative visual acuity improved significantly on both groups(P <0.05),epiretinal membrane were successfully stripped.Observation group:40 eyes of 40 cases of macular edema had a recurrent(2.5%);control group:43 cases 44 eyes of 5 recurrent macular edema(11.4%).Edema recurrent rate compared to the two groups was statistically significant(P <0.05),postoperative visual acuity improved margin and margin improvement in foveal thickness correlated positively(observation group,r=0.616,P=0.00;control group,r=0.462,P=0.01). \\n \\n \\nConclusions \\nVitrectomy combined internal limitingmembrane peeling cansignificantly improve the success rate and reduce the recurrence of edema and improve visual function,improve visual acuity better,changes in vision and central macular thickness with a positive correlation. \\n \\n \\nKey words: \\nIdiopathic macular epiretinal membranes; 23-gaugevitrectomy; Internal limiting membrane peeling; Edema recurrence\",\"PeriodicalId\":10236,\"journal\":{\"name\":\"中国实用眼科杂志\",\"volume\":\"193 1\",\"pages\":\"490-493\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-05-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国实用眼科杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.05.011\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国实用眼科杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.05.011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Structure and function of the visual area forms of idiopathic macular epiretinal membrane surgery
Objective
To compare the structure morphologyand visual function changes of surgery for idiopathic epimacular membrane(IEMM)withand without internal limiting membrane(ILM)peeling,in idiopathic macular membrane patients.
Methods
Aretrospective analysis wasmade for83 patients (84 eyes)with IEMM,according to different treatments divided into two groups,observation group: EMM peeling combined withILMpeeling;control group:single EMM peeling.Followed up for 2 to 12 months to observe the epimacular membranepeeling,macular edema,visual changes,and changes in visual acuity and foveal thickness for linear correlation analysis.
Results
Postoperative visual acuity improved significantly on both groups(P <0.05),epiretinal membrane were successfully stripped.Observation group:40 eyes of 40 cases of macular edema had a recurrent(2.5%);control group:43 cases 44 eyes of 5 recurrent macular edema(11.4%).Edema recurrent rate compared to the two groups was statistically significant(P <0.05),postoperative visual acuity improved margin and margin improvement in foveal thickness correlated positively(observation group,r=0.616,P=0.00;control group,r=0.462,P=0.01).
Conclusions
Vitrectomy combined internal limitingmembrane peeling cansignificantly improve the success rate and reduce the recurrence of edema and improve visual function,improve visual acuity better,changes in vision and central macular thickness with a positive correlation.
Key words:
Idiopathic macular epiretinal membranes; 23-gaugevitrectomy; Internal limiting membrane peeling; Edema recurrence