| Avtor/Urednik | Globočnik-Petrovič, Mojca; Urbančič, Mojca | |
| Naslov | Vitrektomija pri kroničnem foramnu makule | |
| Prevedeni naslov | Vitrectomy for chronic macular hole | |
| Tip | članek | |
| Vir | Zdrav Vestn | |
| Vol. in št. | Letnik 74, št. 10 | |
| Leto izdaje | 2005 | |
| Obseg | str. 613-6 | |
| Jezik | slo | |
| Abstrakt | Background. Vitrectomy for idiopathic macular hole has a good prognosis but it depends on duration of the condition. Anatomic and functional results of operation are less good if macular hole has persisted for more than one year. The aim of our study was to present success of vitrectomy for chronic macular hole. Methods. Data of 74 eyes with idiopathic macular hole operated between June 2000 and September 2003 were retrospectively reviewed. Duration of macular hole, preoperative visual acuity, postoperative visual acuity and hole closure were analysed data. Eyes were divided into two groups with respect to duration of macular hole (less or more than one year). The two groups were compared regarding functional and anatomic success of operation. Results. Postoperative visual acuity improved in 65.5% of eyes in the chronic macular hole group. Improvement of visual acuity was noticed in 88.6% of eyes with acute macular hole. Anatomic success was evident in 72.4% of eyes with chronic macular hole and in 97.2% in the acute macular hole group. Conclusions. Vitrectomy with intraocular gas tamponade is an effective mode of treatment for chronic macular holes, although the overall success is not as good as for acute macular holes. | |
| Izvleček | Izhodišča. Vitrektomija pri idiopatskem foramnu makule ima sorazmerno dobro napoved izida. Trajanje foramna je pomemben napovedni dejavnik. Foramni makule, ki so operirani po enem letu od nastanka foramna, imajo slabšo tako anatomsko kot funkcionalno napoved. Namen članka je prikazati uspešnost operacije pri kroničnem foramnu makule. Metode. Retrospektivno smo pregledali podatke o 74 očeh z idiopatskim foramnom makule, pri katerih je bila narejena vitrektomija z znotrajočesno plinsko tamponado in hkratno operacijo katarakte v obdobju od junija 2000 do septembra 2003. Oči smo razdelili v dve skupini glede na trajanje foramna (manj kot eno leto akutni foramen, več kot eno leto kronični foramen). Pooperativno smo analizirali izboljšanje vidne ostrine (funkcionalni uspeh operacije) in zaprtje foramna (anatomski uspeh) pri obeh skupinah. Rezultati. Pri očeh s kroničnim foramnom makule se je vidna ostrina po operaciji izboljšala v 65,5%, pri očeh z akutnim foramnom pa se je vid po operaciji izboljšal v 88,6%. Anatomski uspeh pri kroničnih foramnih je bil 72,4%, pri očeh s krajšim trajanjem foramna 97,2%. Zaključki. Vitrektomija z znotrajočesno plinsko tamponado je učinkovita metoda zdravljenja tudi pri kroničnih foramnih makule, čeprav je tako anatomski kot funkcionalni uspeh slabši kot pri akutnem foramnu makule. | |
| Deskriptorji | VITRECTOMY RETINAL PERFORATIONS TREATMENT OUTCOME |