Vitrectomy with internal limiting membrane peeling versus its flap insertion for macular hole in high myopia: a Meta-analysis

Autor: Ya-Jun Wu, Jie Rao, Kang-Rui Wu, Na Wu, Yi Cheng, Xiao-Xuan Xu, Li Yan, Yi Shao, Yu Tian, Xiao-Rong Wu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Ophthalmology, Vol 13, Iss 1, Pp 141-148 (2020)
Druh dokumentu: article
ISSN: 2222-3959
2227-4898
DOI: 10.18240/ijo.2020.01.21
Popis: AIM: To compare the anatomic and functional outcomes between vitrectomy with internal limiting membrane (ILM) peeling and internal ILM flap insertion technique for high myopia macular hole (MH). METHODS: PubMed, Cochrane Library, EMBASE, and CNKI were systematically searched, and all studies involved MH were included. The closure rate of MH and the postoperative best-corrected visual acuity (BCVA) at 6mo after the initial surgery were the primary measures. All statistical tests were performed in Review Manager 5.3. RESULTS: Five studies that included 151 eyes of 151 patients were finally included, all of which were retrospectively comparative studies. Between the pars plana vitrectomy (PPV) with ILM peeling surgery and the ILM insertion technique, the latter had significantly better efficacy with respect to the closure rate of MH (OR=21.32, 95%CI=7.25-62.67, P
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