دورية أكاديمية
أعرض في EDS

EFFICIENCY AND SAFETY OF INTERNAL LIMITING MEMBRANE PEELING WITH DIFFERENT FORCEPS FOR MACULAR DISEASE.

التفاصيل البيبلوغرافية
العنوان: EFFICIENCY AND SAFETY OF INTERNAL LIMITING MEMBRANE PEELING WITH DIFFERENT FORCEPS FOR MACULAR DISEASE.
المؤلفون: Chang HH; Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan; and., Chen SJ; Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan; and.; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan., Hsu CA; Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan; and., Chou YB; Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan; and.; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
المصدر: Retina (Philadelphia, Pa.) [Retina] 2024 Apr 01; Vol. 44 (4), pp. 618-626.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8309919 Publication Model: Print Cited Medium: Internet ISSN: 1539-2864 (Electronic) Linking ISSN: 0275004X NLM ISO Abbreviation: Retina Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Philadelphia : Lippincott, [1981?-
مواضيع طبية MeSH: Epiretinal Membrane*/surgery , Retinal Perforations*/surgery , Eye Injuries*/complications, Humans ; Prospective Studies ; Retrospective Studies ; Basement Membrane/surgery ; Retina ; Vitrectomy/methods ; Tomography, Optical Coherence
مستخلص: Purpose: To compare the efficiency and safety of internal limiting membrane (ILM) peeling between the Sharkskin forceps and End-grasping forceps in various macular diseases.
Methods: It is a prospective cohort block-randomized study conducted in a tertiary medical center. Seventy subjects with macular hole, epiretinal membrane, vitreomacular traction syndrome, or myopic foveoschisis, receiving pars plana vitrectomy and ILM peeling surgery were equally divided into Sharkskin forceps group and End-grasping forceps group. The duration of ILM peeling, the number of attempts to initiate peeling, and peeling-related retinal damage were evaluated by recorded video and optical coherence tomography.
Results: In the Sharkskin group, the authors demonstrated significantly fewer attempts to initiate ILM peeling compared with End-grasping group, with an average of 1.9 and 3.1 attempts ( P = 0.0001) and a lower incidence of retinal microstructural damage (20% vs. 45%, P < 0.0001). Moreover, the mean depth of inner retinal injury at the initiating site exhibited distinct difference postoperatively at 3 months between the Sharkskin group then the End-grasping group (4.3 vs. 30.0 µ m, P = 0.001).
Conclusion: Sharkskin forceps provide better efficiency and outcome in ILM peeling in patients with various vitreomacular interface diseases, including reduced risk of retinal injury and fewer attempts to initiate ILM flap.
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معلومات مُعتمدة: IIT#67676087 Alcon
تواريخ الأحداث: Date Created: 20231129 Date Completed: 20240328 Latest Revision: 20240510
رمز التحديث: 20240510
DOI: 10.1097/IAE.0000000000004008
PMID: 38029422
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2864
DOI:10.1097/IAE.0000000000004008