دورية أكاديمية
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Vitrectomy for retinal detachment associated with macular hole: Prognostic factor analysis under different axial length conditions.

التفاصيل البيبلوغرافية
العنوان: Vitrectomy for retinal detachment associated with macular hole: Prognostic factor analysis under different axial length conditions.
المؤلفون: Wang ZQ; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Ni ZZ; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Zhang XL; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Lin XY; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Hu XT; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Zhang ZL; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Zhang ZD; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China., Pan QT; National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
المصدر: Acta ophthalmologica [Acta Ophthalmol] 2024 Jun; Vol. 102 (4), pp. e557-e564. Date of Electronic Publication: 2023 Oct 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101468102 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1755-3768 (Electronic) Linking ISSN: 1755375X NLM ISO Abbreviation: Acta Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: Oxford, UK ; Malden, MA : Blackwell Munksgaard
مواضيع طبية MeSH: Vitrectomy*/methods , Retinal Perforations*/surgery , Retinal Perforations*/diagnosis , Retinal Perforations*/etiology , Retinal Detachment*/surgery , Retinal Detachment*/diagnosis , Retinal Detachment*/etiology , Visual Acuity*/physiology , Axial Length, Eye*/pathology , Tomography, Optical Coherence*/methods, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Prognosis ; Aged ; Endotamponade/methods ; Follow-Up Studies ; Basement Membrane/surgery ; Silicone Oils/administration & dosage ; Treatment Outcome
مستخلص: Purpose: To identify prognostic factors for complete anatomical success (CAS) under different axial length (AL) conditions after vitrectomy plus internal limiting membrane (ILM) peeling for retinal detachment associated with macular hole (MHRD).
Methods: This retrospective study included 243 patients (251 eyes) with MHRD who underwent primary vitrectomy plus ILM peeling. Multivariate logistic regression explored prognostic factors for CAS in AL <30 mm and ≥ 30 mm groups.
Results: Overall, 113 eyes (45.0% of 251) exhibited complete CAS after initial surgery. Eyes with CAS had greater best-corrected visual acuity improvement than eyes without CAS (p < 0.001). CAS was more common in eyes with AL < 30 mm (50.3% of 155) than in eyes with AL ≥ 30 mm (36.5%, 35/96; p = 0.032). In the AL < 30 mm group, CAS was associated with ILM insertion (odds ratio [OR], 2.824, 95% confidence interval [CI], 1.189-6.710; p = 0.019), silicone oil (SO)/perfluoropropane (C3F8) tamponade (SO: OR, 0.408, 95% CI, 0.191-0.873; C3F8: OR, 2.448, 95% CI, 1.145-5.234; p = 0.021) and staphyloma (OR, 0.318, 95% CI, 0.143-0.707; p = 0.005). In the AL ≥30 mm group, CAS was associated with ILM insertion (OR, 11.621, 95% CI, 2.557-52.813; p = 0.001), SO /C3F8 tamponade (SO: OR, 5.305, 95% CI, 1.206-23.334; C3F8: OR, 0.188, 95% CI, 0.043-0.829; p = 0.027) and age (OR, 0.928, 95% CI, 0.876-0.983; p = 0.011).
Conclusion: Vitrectomy plus ILM peeling can effectively treat MHRD but has limited efficacy in eyes with AL ≥ 30 mm. ILM insertion was associated with more frequent CAS at any AL. C3F8 tamponade yielded better outcomes with AL < 30 mm; SO tamponade yielded better outcomes with AL ≥ 30 mm.
(© 2023 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.)
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معلومات مُعتمدة: Y20220775 Wenzhou Basic Public Welfare Scientific Research Project of China
فهرسة مساهمة: Keywords: axial length; internal limiting membrane; perfluoropropane tamponade; retinal detachment associated macular hole; silicone oil tamponade; vitrectomy
المشرفين على المادة: 0 (Silicone Oils)
تواريخ الأحداث: Date Created: 20231011 Date Completed: 20240426 Latest Revision: 20240426
رمز التحديث: 20240426
DOI: 10.1111/aos.15791
PMID: 37818952
قاعدة البيانات: MEDLINE
الوصف
تدمد:1755-3768
DOI:10.1111/aos.15791