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首页> 外文期刊>Ophthalmologica: International Journal of Ophthalmology=Journal International d'Ophtalmologie >Intraoperative Optical Coherence Tomography-Guided Membrane Peeling for Surgery of Macular Pucker: Advantages and Limitations
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Intraoperative Optical Coherence Tomography-Guided Membrane Peeling for Surgery of Macular Pucker: Advantages and Limitations

机译：黄斑褶皱手术术中的术中光学相干断层扫描：优点和局限性

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Purpose: Epiretinal membranes (ERMs) are a disorder leading to progressive vision loss and metamorphopsia. The gold standard in therapy is vitrectomy with membrane peeling. The aim of this study was to assess whether the use of intra-operative optical coherence tomography (iOCT), which allows tomographic visualization of the membrane during peeling, enables peeling without staining. Methods: This prospective study included 30 eyes of 30 patients with idiopathic ERMs scheduled for surgery. Pars plana vitrectomy with iOCT was performed in all cases, whereas staining of ERMs was only performed if needed. Internal limiting membrane (ILM) peeling was performed in case of wrinkled retinal surface after peeling of ERMs. Results: In 63% (n = 19) eyes the ERM could be peeled successfully without use of staining. Nevertheless, in 89% (n = 17) of patients having had ERM peeling without dye, staining of the ILM was performed afterwards for peeling the ILM. Best corrected visual acuity improved in 80% (n = 24) and remained unchanged in 7% (n = 2) 3 months after surgery. There were no significant differences in postoperative results between patients with and without staining for ERM peeling. Conclusions: Use of iOCT helps to complete ERM peeling in a majority of cases without use of a chromovitrectomy dye, but as iOCT fails to visualize the ILM, chromovitrectomy still facilitates macular surgery in a majority of cases. (C) 2018 S. Karger AG, Basel
机译：目的：表膜膜（ERMS）是导致渐进视力丧失和变形的疾病。治疗中的黄金标准是膜剥离的玻璃体切除术。本研究的目的是评估是否使用术中患有术中的术中的光学相干性断层扫描（IOCT），这允许在剥离过程中膜的断层可视化，使得在不染色的情况下能够剥离。方法：该前瞻性研究包括30名患者30名特发性EMS用于手术的患者。在所有情况下，对具有IOCT进行的平面图玻璃体切除术，而ERMS的染色仅在需要时才进行。在ERMS剥离后的皱纹视网膜表面进行内部限制膜（ILM）剥离。结果：在63％（n = 19）的眼睛中，ERM可以在不使用染色的情况下成功去除。然而，在没有染料的情况下具有ERM剥离的89％（n = 17）患者，之后进行ILM的染色以剥离ILM。最佳矫正视力在80％（n = 24）中提高，并且在手术后3个月内保持不变（n = 2）。患者之间没有染色的患者的术后结果没有显着差异。结论：使用IOCT有助于完成大多数病例的ERM剥落而不使用染色体切除术染料，但由于IOCT未能可视化ILM，染色体切除术仍然有助于大多数情况下的黄斑手术。 （c）2018年S. Karger AG，巴塞尔

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