临床眼科杂志2025，Vol.33Issue(3)：231-236,6.DOI:10.3969/j.issn.1006-8422.2025.03.008
最小量后极部玻璃体切除术治疗黄斑前膜的临床疗效观察
Minimal posterior pole vitrectomy for idiopathic epiretinal membrane
摘要
Abstract
Objective To observe the clinical effect of minimal posterior polar vitrectomy on idiopathic epiretinal membrane.Methods A prospective case series study.A total of 28 patients(28 eyes)with idiopathic epiretinal mem-brane(IERM)who underwent surgery at Nanjing Drμm Tower Hospital from September 2020 to November 2022 were in-cluded in the study.Among them,12 cases(12 eyes)were male and 16 cases(16 eyes)were female.The age ranged from 58 to 82 years old.All patients only removed the vitreous within the range of the superior and inferior vascular arch during the surgery.After indocyanine green staining,the inner limiting membrane and epiretinal membrane(ERM)were peeled off,and the posterior cortical vitreous body was removed.Cataract phacoemulsification combined with intraocular lens im-plantation included 19 eyes in the combined group and 9 eyes in the non-combined group without cataract extraction.All patients were followed up for more than 6 months.The best corrected visual acuity(BCVA),intraocular pressure(IOP)and central retinal thickness(CRT)were compared preoperative and postoperative,operation time,the incidence of com-plications were observed.Results The average operation time of the two groups was(28.53±3.70)and(18.78±4.38)min-utes,respectively.At the final follow-up,the average logarithm of the minimum angle of resolution(logMAR)BCVA of the two groups was(0.26±0.22)and(0.32±0.35),respectively,which were better than those before the surgery(P<0.05).The average CRT was(383.00±78.42)μm and(409.78±54.07)μm,respectively,and compared with preoperative,the difference was statistically significant(P<0.05).There was no significant difference in IOP before and after the operation(P>0.05).During the follow-up period of the non-combined group,only 1 case(11.1%)of the operative eye was re-operated due to complicated cataract(at 10 months after the surgery),and there were no severe complications and recur-rence of epiretinal membrane.Conclusions This surgical method can improve visual function with or without cataract sur-gery.At the same time,the surgical operation is simplified,the complications are less,and the anatomical structure of the macular can be restored to different degrees after the operation,which is an optional safe and effective surgical method for IERM.关键词
最小量玻璃体切除术/特发性黄斑前膜/内界膜/玻璃体后皮质Key words
Minimal posterior pole vitrectomy/Idiopathic epiretinal membrane/Internal limiting membrane/Pos-terior vitreous cortex引用本文复制引用
何自芳,解正高,张野,朱振涛,谢律,陈菲菲,张司,刘亚军,张文文,秦勤..最小量后极部玻璃体切除术治疗黄斑前膜的临床疗效观察[J].临床眼科杂志,2025,33(3):231-236,6.基金项目
南京大学医学院附属鼓楼医院临床研究培育项目(2022-LCYJ-PY-30) （2022-LCYJ-PY-30）
