Abstract：Objective: To compare the effect of vitrectomy, internal boundary membrane (ILM) avulsion and overturn coverage combined with air filling (cover group) and vitrectomy, internal boundary membrane simple stripping combined with air filling (stripping group) for the treatment of idiopathic macular hole (IMH). Methods: For patients with IMH, the diameter of the foramen was smaller than 400 mu m, and the total diameter of the eyes was 30 eyes and the diameter of >400 hole was 42 >400. The best corrected visual acuity, the closure of hiatus, the rate of closure of the foramen and the complications were observed before and after operation. Results: In the patients with MH diameter less than 400 u m, the visual acuity of the two groups increased, the difference was not statistically significant (P=0.98). All the patients were closed after the operation, and there was no statistical difference between the two groups (P>0.05). The visual acuity of the two groups in the two groups was higher than that of the cover group (P=0.04), and the closure rate in the stripping group was higher than that of the cover group (P=0.022). There were no serious complications after operation in the two groups. Conclusion: Vitrectomy, internal boundary membrane cover combined with air filling can effectively treat IMH, but for patients with larger MH diameter and IV stage with split hole stage, it is suggested that inert gas should be filled to improve the success rate.
苏畅, 李伟, 苏锐锋, 谭小波, 付笑笑, 周海生. 两种不同术式治疗特发性黄斑裂孔的疗效分析[J]. 河北医学, 2018, 24(6): 973-976.
SU Chang, LI Wei, SU Ruifeng, et al. Efficacy Analysis of two Different Surgical Treatments for Idiopathic Macular Hole. HeBei Med, 2018, 24(6): 973-976.
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2018, Vol. 24 
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