Efficacy of Vitrectomy Combined with Anterior Macular Membrane Strip-ping and Internal Boundary Membrane Stripping in Patients with Idio-pathic Anterior Macular Membrane
Objective To explore the therapeutic effect of vitrectomy combined with anterior macular membrane strip-ping and internal boundary membrane stripping in patients with idiopathic anterior macular membrane.Methods A to-tal of 60 patients with idiopathic macular anterior membrane admitted to the Ophthalmology Department of the First People's Hospital of Changshu City from May 2019 to May 2023 were selected as the study objects and divided into two groups according to random number table method.The control group(n=30)underwent vitrectomy with anterior macular membrane stripping,and the study group(n=30)combined with internal boundary membrane stripping based on the treatment of the control group.The best corrected visual acuity(BCVA),central macular thickness(CMT),aver-age M-charts score and complication rate were compared between the two groups.Results 1 month after surgery,BCVA of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).CMT 3 months after operation in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The average M-charts score of two groups 1,3 months after surgery were lower than before surgery,the differences were statistically significant(both P<0.05),but there was no statistically signifi-cant difference between two groups(both P>0.05).There was no significant difference in the complication total rate be-tween the study group and the control group(P>0.05).Conclusion Both vitrectomy combined with macular anterior membrane stripping and internal boundary membrane stripping have good therapeutic effects and good safety in the treatment of patients with idiopathic macular anterior membrane.However,vitrectomy combined with macular anterior membrane stripping and internal boundary membrane stripping are lower after surgery in terms of improving retinal thickness,reflecting certain advantages.However,further studies with larger sample size are needed in clinical prac-tice,and reasonable surgical methods should be selected according to patients'actual conditions.
NETL
NSTL
万方数据
维普
