手术切除老年性黄斑变性相关的1+2型脉络膜新生血管

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:jianbbk
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Purpose: To evaluate the visual acuity outcome and the various factors influencing visual outcome in patients undergoing surgical removal of type 1+ 2 choroidal neovascularization (CNV) caused by age-related macular degeneration (AMD). Methods: We studied the records of 54 patients (54 eyes)-followed for at least 1 year after surgical excision of CNV associated with AMD. Results: The final visual acuity was 0.4 or better in 4% , 0.1 to 0.3 in 46% , and worse than 0.1 in 50% of the patients. Final visual acuity was improved in 39% , stable in 37% , and worse in 24% . Stepwise regression showed that the distance between the center of the foveal avascular zone and the CNV margin had the greatest effect on final visual acuity. Conclusions: Surgical excision of type1+ 2 CNV due to AMD may be indicated for preserving preoperative visual acuity. The distance between the center of the foveal avascular zone and the CNV margin is the most important factor affecting final visual acuity. Purpose: To evaluate the visual acuity outcome and the various factors influencing visual outcome in patients undergoing surgical removal of type 1+ 2 choroidal neovascularization (CNV) caused by age-related macular degeneration (AMD). Methods: We studied the records of 54 patients Results: The final visual acuity was 0.4 or better in 4%, 0.1 to 0.3 in 46%, and worse than 0.1 in 50% of the patients. Final visual acuity was improved in 39%, stable in 37%, and worse in 24%. Stepwise regression showed that the distance between the center of the foveal avascular zone and the CNV margin had the greatest effect on final visual acuity. Conclusions : Surgical excision of type 1 + 2 CNV due to AMD may be indicated for preserving preoperative visual acuity. The distance between the center of the foveal avascular zone and the CNV margin is the most important factor affecting final visual acuity.
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