PDF(Pubmed)
Abstract：
UNASSIGNED: This work compares best-corrected visual acuity (BCVA) and central retinal thickness (CRT) outcome measures following pars plana vitrectomy (PPV) with and without internal limiting membrane (ILM) peel for epiretinal membrane (ERM).
UNASSIGNED: A retrospective cohort study was conducted of 114 eyes of 114 patients with visually significant ERM undergoing PPV with membrane peel (PPV/MP) at a single institution. CRT measurements were collected from Heidelberg and Zeiss spectral-domain optical coherence tomography imaging units. Results compared preoperative and postoperative CRT and BCVA among patients with at least 60 days of follow-up.
UNASSIGNED: A total of 114 eyes with ERM met the inclusion criteria. Eighty-one eyes (71%) underwent PPV/MP with ILM peel and 33 eyes (29%) underwent PPV/MP without ILM peel. There was no statistically significant difference between preoperative CRT between the 2 study groups (P = .95). The mean follow-up time of eyes undergoing PPV/MP without ILM peel and with ILM peel was 391 days and 319 days, respectively. There was no statistical difference in the mean reduction of CRT between the 2 groups (P = .470). Both groups had improvement of BCVA following surgery and there was no statistical difference in final logMAR visual acuity when comparing the 2 groups (P = .738).
UNASSIGNED: There was an overall improvement of CRT and BCVA among patients undergoing PPV/MP for ERM with or without ILM peel. There was no statistically significant difference in the final BCVA or CRT between the 2 groups.
UNASSIGNED: A retrospective cohort study was conducted of 114 eyes of 114 patients with visually significant ERM undergoing PPV with membrane peel (PPV/MP) at a single institution. CRT measurements were collected from Heidelberg and Zeiss spectral-domain optical coherence tomography imaging units. Results compared preoperative and postoperative CRT and BCVA among patients with at least 60 days of follow-up.
UNASSIGNED: A total of 114 eyes with ERM met the inclusion criteria. Eighty-one eyes (71%) underwent PPV/MP with ILM peel and 33 eyes (29%) underwent PPV/MP without ILM peel. There was no statistically significant difference between preoperative CRT between the 2 study groups (P = .95). The mean follow-up time of eyes undergoing PPV/MP without ILM peel and with ILM peel was 391 days and 319 days, respectively. There was no statistical difference in the mean reduction of CRT between the 2 groups (P = .470). Both groups had improvement of BCVA following surgery and there was no statistical difference in final logMAR visual acuity when comparing the 2 groups (P = .738).
UNASSIGNED: There was an overall improvement of CRT and BCVA among patients undergoing PPV/MP for ERM with or without ILM peel. There was no statistically significant difference in the final BCVA or CRT between the 2 groups.
摘要：
■这项工作比较了平坦部玻璃体切除术（PPV）后的最佳矫正视力（BCVA）和中央视网膜厚度（CRT）结果测量，无论有无内界膜（ILM）剥离视网膜前膜（ERM）。
■对114例视觉显著ERM患者的114只眼进行了回顾性队列研究，该研究在单个机构接受膜剥离PPV（PPV/MP）。CRT测量是从海德堡和蔡司光谱域光学相干断层扫描成像单元收集的。结果在随访至少60天的患者中比较术前和术后的CRT和BCVA。
■共有114只眼ERM符合纳入标准。81只(71%)眼接受有ILM剥离的PPV/MP,33只(29%)眼接受无ILM剥离的PPV/MP。2个研究组之间术前CRT差异无统计学意义（P=0.95）。无ILM剥离和有ILM剥离的PPV/MP患者的平均随访时间为391天和319天，分别。两组之间的平均CRT降低无统计学差异（P=0.470）。两组术后BCVA均有改善，与两组相比，最终logMAR视力无统计学差异（P=.738）。
■接受PPV/MP治疗有或没有ILM剥离的ERM患者的CRT和BCVA总体改善。2组最终BCVA或CRT差异无统计学意义。
■对114例视觉显著ERM患者的114只眼进行了回顾性队列研究，该研究在单个机构接受膜剥离PPV（PPV/MP）。CRT测量是从海德堡和蔡司光谱域光学相干断层扫描成像单元收集的。结果在随访至少60天的患者中比较术前和术后的CRT和BCVA。
■共有114只眼ERM符合纳入标准。81只(71%)眼接受有ILM剥离的PPV/MP,33只(29%)眼接受无ILM剥离的PPV/MP。2个研究组之间术前CRT差异无统计学意义（P=0.95）。无ILM剥离和有ILM剥离的PPV/MP患者的平均随访时间为391天和319天，分别。两组之间的平均CRT降低无统计学差异（P=0.470）。两组术后BCVA均有改善，与两组相比，最终logMAR视力无统计学差异（P=.738）。
■接受PPV/MP治疗有或没有ILM剥离的ERM患者的CRT和BCVA总体改善。2组最终BCVA或CRT差异无统计学意义。
