摘要
目的探讨特发性黄斑前膜(IERM)剥离手术患者康复效果的相关因素.方法回顾分析2013年6月至2017年6月收治的88例(88只眼)IERM行剥离术的患者临床资料,统计分析影响其术后视功能恢复的相关因素.结果88例患者中术后6个月视力无改变18例(20.45%),视力提高62例(70.45%),视力下降8例(9.09%).单因素Logistic回归分析显示,视力无改变、视力提高和视力下降患者在病程、术前BCVA、术前黄斑形态、IS/OS状态、剥膜难度评分、黄斑中心凹出血评分和ICG染色评分存在统计学差异(P<0.05).多因素Logistic回归分析结果显示,病程、术前BCVA、术前黄斑形态、IS/OS状态、剥膜难度评分、黄斑中心凹出血评分和ICG染色评分是IERM患者术后视力恢复的独立影响因素(P<0.05).结论IERM玻璃体切除术预后的相关影响因素十分复杂,涉及术前、术中和术后每一环节.
Objective To investigate the factors related to the rehabilitation of patients with idiopathic macular epilepsy(IERM).Methods The clinical data of 86 patients(86 eyes)with IERM line stripping were analyzed retrospectively from June 2013 to June 2017.Statistical analysis of the clinical data,analyze postoperative visual function related factors.Results There were 18 cases(20.93%)with no changes in visual acuity,visual acuity improved in 62 cases(72.09%),and visual acuity decreased in 6 cases(6.98%)at 6 months after operation.Univariate logistic regression analysis showed that BCVA,preoperative macular morphology,IS/OS status,stripping difficulty score,macular foveal hemorrhage score and ICG staining score were significantly different in patients with no improvement of visual acuity,improvement of vision and vision loss Sexual differences(P<0.05).Logistic multivariate regression analysis showed that BCVA,preoperative macular morphology,IS/OS status,stripping difficulty score,macular foveal hemorrhage score and ICG staining score were the independent influencing factors of postoperative visual acuity recovery in patients with IERM(P<0.05).Conclusion The prognostic factors of IERM vitreous resection are very complex,involving preoperative,intraoperative and postoperative every link.
作者
刘华
白领娣
赵霞
LIU Hua;BAI Lingdi;ZHAO Xia(Department of vitreo-retinal Surgery,Tangshan Eye Hospital,Tangshan 063000,China)
出处
《中国实用眼科杂志》
2018年第2期113-116,共4页
Chinese Journal of Practical Ophthalmology
关键词
特发性黄斑前膜
剥离
因素
视力
Idiopathic macular epiretinal membrane,IERM
Peel
Factor
Vision
