国际眼科杂志2026，Vol.26Issue(9)：1658-1660,3.DOI:10.3980/j.issn.1672-5123.2026.9.25
合并无症状黄斑前膜的白内障患者超声乳化术后黄斑区厚度的变化
Macular thickness changes after phacoemulsification in cataract patients with asymptomatic epiretinal membrane
摘要
Abstract
·AIM:To observe the changes in macular thickness after phacoemulsification in cataract patients with asymptomatic epiretinal membrane. ·METHODS:This was a prospective study.Clinical data of cataract patients with asymptomatic epiretinal membrane treated in the hospital from August 2023 to August 2025 were collected.Patients were followed up for 3 mo postoperatively.Best corrected visual acuity(BCVA),central foveal thickness(CFT),and macular thickness in the central 3 mm area were compared before and after surgery. ·RESULTS:A total of 87 patients(90 eyes)with cataract and asymptomatic epiretinal membrane were enrolled.One patient(1 eye)was lost to follow-up at 1 mo postoperatively,with a loss rate of 1％.Among the 86 patients(89 eyes)who completed the follow-up,there were 38 males and 48 females,with a mean age of 76.51±5.23 y.The mean axial length was 23.32±0.27 mm.Eighty-five eyes(95.5％)had nuclear hardness of grade Ⅲ or above.Preoperative CFT was 344.56±54.13 μm,and preoperative macular thickness in the central 3 mm area was 351.25±32.32 μm.At 1 wk,1 and 3 mo postoperatively,BCVA improved compared with preoperative values(all P＜0.05),while CFT and macular thickness in the central 3 mm area increased significantly(all P＜0.05).At 1 wk postoperatively,pseudocystoid macular edema(PCME)occurred in one eye.After treatment with prednisolone acetate eye drops 4 times daily and bromfenac sodium eye drops 2 times daily for 2 mo,edema fully resolved,visual acuity recovered to the average postoperative level,and no metamorphopsia was observed. ·CONCLUSION:Phacoemulsification is safe and effective for cataract patients with asymptomatic epiretinal membrane.关键词
视网膜前膜/超声乳化手术/黄斑区厚度/囊样黄斑水肿Key words
epiretinal membrane/phacoemulsification/macular thickness/cystoid macular edema引用本文复制引用
孔佳慧,霍永军..合并无症状黄斑前膜的白内障患者超声乳化术后黄斑区厚度的变化[J].国际眼科杂志,2026,26(9):1658-1660,3.基金项目
2023安阳市科技计划项目(No.2023C01SF225) 2023 Science and Technology Plan Project of Anyang City(No.2023C01SF225) （No.2023C01SF225）
