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A three-step approach versus the inverted internal limiting membrane flap technique in large full thickness macular hole surgery: a comparative study

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收录情况： ◇ SCIE

作者：
Lai, Dongwei[1,2,3] * ; Tang, Siao[4] * ; Gu, Chufeng[1,2,3] ; Meng, Chunren[1,2,3] ; Cai, Chunyang[1,2,3] ; He, Shuai[1,2,3] ; Qiu, Qinghua[2] ;
机构： [1]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [2]Shanghai Jiao Tong Univ, Tong Ren Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [3]Shanghai Engn Ctr Visual Sci & Photomed, Shanghai Engn Ctr Precise Diag & Treatment Eye Dis, Natl Clin Res Ctr Eye Dis, Shanghai Key Lab Ocular Fundus Dis, Shanghai, Peoples R China [4]Cent South Univ, Xiangya Sch Med, Changsha, Hunan, Peoples R China
出处：
DOI： 10.1186/s12886-025-04003-0
ISSN：

关键词： FTMH A three-step approach IFT Functional and anatomical outcome

摘要：
ObjectiveTo evaluate the anatomical and functional outcomes of our novel surgery (a three-step approach) and the conventional inverted internal limiting membrane flap technique (IFT) in treating large full-thickness macular holes (FTMHs).MethodsThis was a retrospective, consecutive, nonrandomized comparative study of patients who underwent either the novel surgery (n = 27, Group A) or IFT (n = 27, Group B). The main outcomes of MH closure rates and the best corrected visual acuity (BCVA) at 1-, 3-, and 6-month follow-up were compared between the two groups.ResultsAt 6 months postoperatively, MH closure was achieved in 24/27 patients in Group A and 22/27 patients in Group B (88.89% vs. 81.48%, P = 0.704) with U-shaped closure rates being significantly higher in Group A (P = 0.029). The average BCVA at month 6 was 0.69 +/- 0.38 (LogMAR) in Group A and 0.91 +/- 0.39 in Group B (P = 0.015) with the improvement in BCVA being significantly higher in Group A (0.50 +/- 0.59 vs. 0.31 +/- 0.59, P = 0.045). The recovery rates of ELM were significantly higher in Group A (P = 0.026).ConclusionsOur three-step approach greatly improves anatomical and functional outcomes compared with IFT. This novel surgery has a dominant advantage in earlier and higher ultimate closure rate, U-type closure rate, and ELM recovery rate, and more importantly, better recovery of BCVA.

基金：
This work was supported by the National Natural Science Foundation of China (82371072), Domestic Science and Technology Cooperation Project of Shanghai Municipal Science and Technology Commission (21015800700).
语种：
外文
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中科院(CAS)分区：
出版当年[2025]版：
大类 | 3 区 医学
小类 | 3 区 眼科学
最新[2025]版：
大类 | 3 区 医学
小类 | 3 区 眼科学
JCR分区：
出版当年[2023]版：
Q3 OPHTHALMOLOGY
最新[2023]版：
Q3 OPHTHALMOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者：
第一作者机构： [1]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [2]Shanghai Jiao Tong Univ, Tong Ren Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [3]Shanghai Engn Ctr Visual Sci & Photomed, Shanghai Engn Ctr Precise Diag & Treatment Eye Dis, Natl Clin Res Ctr Eye Dis, Shanghai Key Lab Ocular Fundus Dis, Shanghai, Peoples R China
共同第一作者：
通讯作者：
通讯机构： [1]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [2]Shanghai Jiao Tong Univ, Tong Ren Hosp, Dept Ophthalmol, Sch Med, Shanghai 200336, Peoples R China [3]Shanghai Engn Ctr Visual Sci & Photomed, Shanghai Engn Ctr Precise Diag & Treatment Eye Dis, Natl Clin Res Ctr Eye Dis, Shanghai Key Lab Ocular Fundus Dis, Shanghai, Peoples R China
推荐引用方式(GB/T 7714)：
Lai Dongwei,Tang Siao,Gu Chufeng,et al.A three-step approach versus the inverted internal limiting membrane flap technique in large full thickness macular hole surgery: a comparative study[J].BMC OPHTHALMOLOGY.2025,25(1):doi:10.1186/s12886-025-04003-0.
APA：
Lai, Dongwei,Tang, Siao,Gu, Chufeng,Meng, Chunren,Cai, Chunyang...&Qiu, Qinghua.(2025).A three-step approach versus the inverted internal limiting membrane flap technique in large full thickness macular hole surgery: a comparative study.BMC OPHTHALMOLOGY,25,(1)
MLA：
Lai, Dongwei,et al."A three-step approach versus the inverted internal limiting membrane flap technique in large full thickness macular hole surgery: a comparative study".BMC OPHTHALMOLOGY 25..1(2025)

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