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NR 3/2004
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Ocena wyników
operacyjnego leczenia otworów w plamce
The estimation of macular
hole surgery results
Edyta Pel-Przybyszewska1, Ewa
Szkudlarek2,
Anna Szkudlarek3, Jerzy Nawrocki14
1Z III Szpitala Miejskiego im. K. Jonschera w Łodzi
Ordynator: prof. dr hab. n. med. Jerzy Nawrocki
2Katedra Mikrobiologii Uniwersytetu Medycznego w
Łodzi
Kierownik: prof. dr hab. n. med. Zbigniew Krzemiński
3Katedra Morfologii Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Kazimierz Jędrzejewski
4Z Kliniki Okulistycznej „Jasne Błonia” w Łodzi
Ordynator: prof. dr hab. n. med. Jerzy Nawrocki |
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| Summary: |
Purpose: The
purpose of the study was to estimate the results of
macular hole surgery.
Material and methods: The data contains 57
patients (61 eyes) with stage 3 or 4 macular holes who
underwent three port pars plana vitrectomy, ILM peeling
and gas endotamponade. Patients were divided into two
groups: I group relates to 38 operations conducted
without a dye, II group contains 23 eyes which underwent
macular surgery with a dye – trypan blue.
Results: The anatomical success rate after one
surgery was 80,7% (47 eyes) and 89,5% (53 eyes) after
additional vitrectomy [79% (30 eyes) in group I and 100%
(23 eyes) in group II]. The functional improvement was
observed in 55,3% (21 eyes) in group I and 74% (17 eyes)
in group II. Complications after operations included:
retinal detachment, the increase of intraocular pressure
and lens opacifications increase.
Conclusions: Pars plana vitrectomy with ILM
peeling is a successfully surgery procedure for macular
holes. Trypan blue increases the safety and precision of
surgery and improves the postoperative results. |
| Słowa kluczowe: |
idiopatyczny otwór w
plamce, witrektomia, usuwanie błony granicznej
wewnętrznej, trypan blue. |
| Key words: |
idiopathic macular hole,
vitrectomy, ILM peeling, trypan blue. |
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