Internal Limiting Membrane Removal in Macular Hole Surgery_West China Medical Journal

Authors：

LUAN Chunsheng ¹ ,  CUI Min ²

1Department of Ophthalmology, the General Hospital of Daqing Oil Field, Daqing Heilongjiang163001, China; 2Department of Ophthalmology, the First Affiliated Hospital, Chengdu Medical College, Chengdu Sichuan 610500, China;

Corresponding author：

CUI Min, Email: cui.min@hotmail.com

Keywords：

黄斑裂孔; 内界膜

Video：

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目的:通过比较玻璃体切除联合内界膜剥离术和玻璃体切除术,探讨更适合黄斑裂孔患者的手术方法。方法:对2006年1月至2008年12月在我院确诊有黄斑裂孔的39名患者40眼随机分为两组:A组行玻璃体切除联合内界膜剥离术,B组行玻璃体切除术,对比两组患者术前、术后最佳矫正视力、视野检查结果、ERG和VEP,OCT检查黄斑裂孔闭合的情况。结果:两组术前最佳矫正视力无统计学差异。A组的术后最佳矫正视力、视野检查结果、ERG和黄斑裂孔闭合率均好于B组。两组术后6个月VEP比较无统计学差别。结论:玻璃体切除联合内界膜剥离较玻璃体切除术更能有效治疗黄斑裂孔。

Citation： LUAN Chunsheng,CUI Min. Internal Limiting Membrane Removal in Macular Hole Surgery. West China Medical Journal, 2009, 24(8): 1936-1938. doi: Copy

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4.	S W KANG, K AHN, DI HAM. Types of macular hole closure and their clinical implications[J].Br J Ophthalmol,2003,87(3):1015-1019.
5.	TADAYONI,A GAUDRIC,B HAOUCHINE,P MASSIN. Relationship between macular hole size and the potential benefit of internal limiting membrane peeling[J].British Journal of Ophthalmology,2006,90(3):1239-1241.
6.	SCHUMANO RG,SCHAUMBERGER MM,ROHLEDER M,et al.Ultrastructure of the vitreomacular interface in fullthickness idiopathic macular holes:a consecutive analysis 100 cases[J].Am J Ophthalmolol,2006,141(4):1112-1119.
7.	BROECKER EH,DUNBAR MT.Optical cohererce tomography.its clinical use for the diagnosis pathogenesis and management of macular conditions[J]. Optometry, 2005,76(2):79-101.
8.	MESTER U,KUHN F.Internal limiting membrane removal in the management of full一thickness maeular holes[J].AmJOPhthalmol,2000,129(4):769-777.
9.	HIRNEISS C,NEUBAUER AS,GASS CA.Visual quality of life after macular hole surgery:outcome and predictive factors[J].Br J Ophthalmol.2007,91(4): 481-4.
10.	IP, MS, BJ BAKER, JS DUKER, et al. Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography[J]. Arch Ophthalmol, 2002,120(1):29-32.

1. OH,KT,et al.Evaluation of Patients with visual field defects following maeular hole surgery using multifoeal eleetroretinography[J].Retina,2000,20(2):238-243.
2. CHEW,EY,RD SPERDUTO,R HILLER,et al.Clinical course of macular holes: the Eye Disease CaseControl Study[J].Arch Ophthalmol,1999,117(2):242-246.
3. HIKICHIT,YOSHIDA A,AKIBA J,et al.Natural outcomes of stage 1,2,3,and 4 idiopathic macular holes[J].Br J Ophthalmol,1995,79(6):571-574.
4. S W KANG, K AHN, DI HAM. Types of macular hole closure and their clinical implications[J].Br J Ophthalmol,2003,87(3):1015-1019.
5. TADAYONI,A GAUDRIC,B HAOUCHINE,P MASSIN. Relationship between macular hole size and the potential benefit of internal limiting membrane peeling[J].British Journal of Ophthalmology,2006,90(3):1239-1241.
6. SCHUMANO RG,SCHAUMBERGER MM,ROHLEDER M,et al.Ultrastructure of the vitreomacular interface in fullthickness idiopathic macular holes:a consecutive analysis 100 cases[J].Am J Ophthalmolol,2006,141(4):1112-1119.
7. BROECKER EH,DUNBAR MT.Optical cohererce tomography.its clinical use for the diagnosis pathogenesis and management of macular conditions[J]. Optometry, 2005,76(2):79-101.
8. MESTER U,KUHN F.Internal limiting membrane removal in the management of full一thickness maeular holes[J].AmJOPhthalmol,2000,129(4):769-777.
9. HIRNEISS C,NEUBAUER AS,GASS CA.Visual quality of life after macular hole surgery:outcome and predictive factors[J].Br J Ophthalmol.2007,91(4): 481-4.
10. IP, MS, BJ BAKER, JS DUKER, et al. Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography[J]. Arch Ophthalmol, 2002,120(1):29-32.

West China Medical Journal

Internal Limiting Membrane Removal in Macular Hole Surgery

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