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Vitrectomy with or without internal limiting membrane peeling for each stage of myopic traction maculopathy

机译：玻璃体切除术在近视牵引性黄斑病变的每个阶段有无内膜剥落

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PURPOSE: To evaluate the effect of vitrectomy on the best-corrected visual acuity (BCVA) and postoperative complications in highly myopic eyes with myopic traction maculopathy. METHODS: The medical records of 71 eyes of 64 patients with myopic traction maculopathy and high myopia (≤-8.0 diopters and axial length, ≥26.0 mm) were reviewed. Twenty-six eyes had only macular retinoschisis, 30 eyes had foveal detachment, and 15 eyes had macular hole. The BCVA and complications were studied in eyes that underwent vitrectomy with or without internal limiting membrane (ILM) peeling. RESULTS: The postoperative BCVA at the final visit significantly improved in the macular retinoschisis and the foveal detachment groups (P = 0.003 and P = 0.010, respectively) but not in the macular hole group (P = 0.069). The BCVA in the macular retinoschisis group and the foveal detachment group with ILM peeling significantly improved at the final visit (P = 0.003 and P = 0.010, respectively). The BCVA at the final visit significantly correlated with age (P = 0.026) and ILM peeling (P = 0.034). A recurrence of tractional macular detachment developed more frequently in eyes without ILM peeling (P = 0.018). CONCLUSION: These results indicate that vitrectomy with ILM peeling can lead to improvement in vision in patients with macular retinoschisis or foveal detachment with visual impairments.
机译：目的：评价玻璃体切除术对高度近视眼伴有牵引性黄斑病变的最佳矫正视力（BCVA）和术后并发症的影响。方法：回顾性分析了64例近视牵引性黄斑病变和高度近视（≤-8.0屈光度和轴长，≥26.0mm）的71眼的医疗记录。 26只眼只有黄斑裂孔性视网膜裂孔，30只眼有中央凹脱离，15只眼有黄斑裂孔。在接受玻璃体切除术（有或没有内部限制膜（ILM）剥离）的眼睛中研究了BCVA和并发症。结果：最后一次访视的术后BCVA在黄斑视网膜分裂症和中央凹脱离组中分别显着改善（分别为P = 0.003和P = 0.010），但在黄斑裂孔组中则没有改善（P = 0.069）。在最后一次就诊时，黄斑部视网膜劈裂组和黄斑中心脱离组伴有ILM剥离的BCVA显着改善（分别为P = 0.003和P = 0.010）。最终访视时的BCVA与年龄（P = 0.026）和ILM脱皮（P = 0.034）显着相关。没有ILM脱皮的眼中，牵引性黄斑脱离的复发率更高（P = 0.018）。结论：这些结果表明，玻璃体切除联合ILM剥离可改善黄斑视网膜裂隙或伴有视力障碍的中央凹脱离的患者的视力。

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