Ophthalmic surgery, lasers & imaging retina · 2015
Outcomes of Pars Plana Vitrectomy for Patients With Vitreomacular Traction.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Gonzalez Marco A, Flynn Harry W, Bokman Christine L, Feuer William, Smiddy William E
Аннотация
BACKGROUND AND OBJECTIVE: To evaluate clinical and optical coherence tomography (OCT) outcomes of pars plana vitrectomy (PPV) for patients with vitreomacular traction (VMT).
PATIENTS AND METHODS: Noncomparative, interventional, consecutive case series from 2007 to 2014.
RESULTS: Of the 37 study eyes, patients were grouped according to the extent of VMT evident on OCT. Group 1 (18 eyes) had intraretinal cysts on OCT. Group 2 (19 eyes) had both intraretinal cysts and subretinal fluid. Visual acuity (VA) improved at least one line or more in 76% of eyes postoperatively. Postoperative VA was not significantly different across the two groups (P > .36). Postoperatively, a macular hole developed in 4 eyes (10%). After reoperation, three of four eyes achieved macular hole closure.
CONCLUSIONS: Patients with VMT achieve visual and OCT improvements after PPV. Postoperative macular hole formation is uncommon but can be successfully repaired with further surgery.
PATIENTS AND METHODS: Noncomparative, interventional, consecutive case series from 2007 to 2014.
RESULTS: Of the 37 study eyes, patients were grouped according to the extent of VMT evident on OCT. Group 1 (18 eyes) had intraretinal cysts on OCT. Group 2 (19 eyes) had both intraretinal cysts and subretinal fluid. Visual acuity (VA) improved at least one line or more in 76% of eyes postoperatively. Postoperative VA was not significantly different across the two groups (P > .36). Postoperatively, a macular hole developed in 4 eyes (10%). After reoperation, three of four eyes achieved macular hole closure.
CONCLUSIONS: Patients with VMT achieve visual and OCT improvements after PPV. Postoperative macular hole formation is uncommon but can be successfully repaired with further surgery.