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Efficacy of fovea-sparing internal limiting membrane peeling for epiretinal membrane foveoschisis
Ophthalmic Research ( IF 2.0 ) Pub Date : 2021-11-17 , DOI: 10.1159/000520836
Reio Sekine 1 , Jiro Kogo 1 , Tatsuya Jujo 1 , Keiji Sato 1 , Ibuki Arizono 1 , Tatsukata Kawagoe 1 , Naoto Tokuda 1 , Yasushi Kitaoka 1 , Hitoshi Takagi 1
Affiliation  

Purpose: To investigate the outcomes of vitrectomy with fovea-sparing internal limiting membrane (ILM) peeling (FSIP) for epiretinal membrane foveoschisis based on new optical coherence tomography definitions. Methods: 27 eyes of 28 patients (67.2 ± 10.5 years old) who underwent vitrectomy with FSIP without gas tamponade for epiretinal membrane foveoschisis were included. All patients underwent follow-up examinations for at least 12 months. In the FSIP technique, the ILM is peeled off in a donut shape, preserving the foveal ILM. The logarithm of the minimal angle of resolution best-corrected visual acuity (logMAR BCVA), central macular thickness (CMT), and surgical complications were examined. Results: The BCVA at 12 months improved significantly from baseline (p < 0.001). Baseline ellipsoid zone defects were found in 3 eyes (10%), and all defective eyes had recovered at 12 months. CMT decreased significantly from baseline (p < 0.001). Acute macular edema, full-thickness macular hole, and recurrence of epiretinal membrane were not observed during follow-up. Conclusion: FSIP achieved good visual outcome and retinal morphological change. Moreover, FSIP might avoid acute macular edema in epiretinal membrane foveoschisis surgery.


中文翻译:

保留中央凹内界膜剥离治疗视网膜前膜中央凹劈裂的疗效

目的:基于新的光学相干断层扫描定义,研究玻璃体切除术与保留中央凹内界膜 (ILM) 剥离 (FSIP) 对视网膜前膜中央凹劈裂的结果。方法:28 名患者(67.2 ± 10.5 岁)的 27 只眼因视网膜前膜中央凹劈裂而接受 FSIP 玻璃体切除术且无气体填塞。所有患者均接受至少12个月的随访检查。在 FSIP 技术中,ILM 以甜甜圈形状剥离,保留中央凹 ILM。检查最小分辨率最佳矫正视力(logMAR BCVA)、中央黄斑厚度(CMT)和手术并发症的对数。结果:12 个月时的 BCVA 较基线显着改善(p < 0.001)。3只眼(10%)发现基线椭球区缺陷,所有有缺陷的眼睛都在 12 个月时恢复。CMT 从基线显着下降 (p < 0.001)。随访期间未见急性黄斑水肿、黄斑全层裂孔、视网膜前膜复发。结论:FSIP取得了良好的视觉效果和视网膜形态学改变。此外,FSIP 可能避免视网膜前膜中央凹劈裂手术中的急性黄斑水肿。
更新日期:2021-11-17
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