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Surgical excision of type 2 choroidal neovascularization in age-related macular degeneration.

机译:2型脉络膜新生血管在年龄相关性黄斑变性中的手术切除。

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PURPOSE: To evaluate the visual acuity outcome and the influence of various factors on visual outcome in patients undergoing surgical removal of type 2 choroidal neovascular neovascularization (CNV) caused by age-related macular degeneration (AMD). METHODS: We studied the records of 92 patients (92 eyes) who were followed for at least 1 year after surgical excision of CNV associated with AMD. RESULTS: The final visual acuity was 0.4 or better in 21%, 0.1 to 0.3 in 66%, and worse than 0.1 in 13% of the patients. Final visual acuity was improved in 62%, stable in 29%, and worse in 9%. Stepwise regression identified CNV size as a significant factor influencing final visual acuity (R = 0.287, P = 0.0045). CONCLUSIONS: Surgical excision of CNV for AMD is indicated for patients with subfoveal active type 2 CNV with a visual acuity of 0.3 or worse. To achieve better postoperative visual acuity it is important to operate on AMD patients in the early stage of CNV. Jpn J Ophthalmol 2005;49:321-323 (c) Japanese Ophthalmological Society 2005.
机译:目的:评估因年龄相关性黄斑变性(AMD)手术切除2型脉络膜新生血管新血管形成(CNV)的患者的视敏度结果以及各种因素对视觉效果的影响。方法:我们研究了92例(92眼)患者的病历,这些患者在接受与AMD相关的CNV手术切除后至少随访了1年。结果:最终视力在21%的患者中为0.4或更高,在66%的患者中为0.1至0.3,在13%的患者中低于0.1。最终视力提高了62%,稳定了29%,差了9%。逐步回归确定CNV大小是影响最终视力的重要因素(R = 0.287,P = 0.0045)。结论:对于患有小凹下活动型2型CNV且视力为0.3或更差的患者,建议进行AMD的CNV手术切除。为了获得更好的术后视力,在CNV早期对AMD患者进行手术很重要。 Jpn J Ophthalmol 2005; 49:321-323(c)日本眼科学会2005。

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