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首页> 外文期刊>Retina >Surgical outcomes of idiopathic macular hole repair with limited postoperative positioning.
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Surgical outcomes of idiopathic macular hole repair with limited postoperative positioning.

机译：局限性术后定位的特发性黄斑裂孔修复的手术结果。

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摘要

Surgical repair of idiopathic macular holes was first described in 1991 by Kelly and Wendel. Patients in their study underwent pars plana vitrectomy, gas-fluid exchange, and postoperative face down patient positioning for 7 days to 10 days. Since then, this postoperative positioning period has been adopted by many retinal surgeons. However, there have been multiple complications reported secondary to extended postoperative positioning: neck or back pain, pressure sores, ulnar neuropathy, and time lost from work.In recent years, internal limiting membrane (ELM) peeling has been thought to relieve tangential traction on the macula and improve surgical outcomes. The improved success rate of macular hole surgery has led some retinal surgeons to question the need for prolonged postoperative face down positioning. Several studies have suggested that the use of ELM peeling and a shorter postoperative positioning or no postoperative positioning may be adequate in achieving equivalent surgical outcomes.
机译：1991年，Kelly和Wendel首次描述了特发性黄斑裂孔的手术修复。研究中的患者经历了7到10天的平面玻璃体切除术，气体交换和术后面朝下的患者定位。从那时起，许多视网膜外科医生就采用了这种术后定位期。然而，据报道术后扩展位置继发了多种并发症：颈部或背部疼痛，压疮，尺神经病和工作时间流逝。近年来，人们认为内部限制膜（ELM）剥离可减轻切向牵引力。黄斑和改善手术效果。黄斑裂孔手术成功率的提高使一些视网膜外科医生对术后长期向下放置面部提出了质疑。多项研究表明，使用ELM剥皮术和较短的术后定位或不进行术后定位可能足以达到相同的手术效果。

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