Ibicuruzwa

Kugirango umenye urwego rwibisigisigi byimbere byimbere (ILM) nyuma yo gukuramo epietinal epiretinal membrane (ERM) hamwe nakamaro ko gusiga irangi hamwe nubururu bwiza bwa GA buteganijwe, butandukanye, ubushakashatsi bwibanze kumaso 98 arimo pars plana vitrectomy na membrane ikuramo ERM idasanzwe.Amaso yose yabazwe vitrectomie yibanze (20, 23, cyangwa 25 gauge) ikurikirwa na trivitinolone ya intravitreal kugirango hamenyekane ko hyaloide yinyuma yakuweho.Ubururu bwiza cyane G (0.2 mL ya 0,25 mg / mL) yatewe mu cyuho cya vitreous ahita yozwa.ERM yakuweho hanyuma umuganga abaga yitegereza kandi yandika ibiranga ILM iri munsi.Inkingi yinyuma yagumishijweho ubururu bwiza bwa G (0,2 mL ya 0,25 mg / mL), kandi ubushakashatsi bumwe ku biranga ILM bwaranditswe.Gukuramo ILM isigaye yarakozwe.Ibisubizo nyamukuru byapimwe ni imiterere ya ILM nyuma ya ERM.Icyiciro cya kabiri cyarimo gukosorwa neza kwerekanwa neza hamwe nuburebure bwa macula hagati yamezi 6 nyuma yo kubagwa.Nyuma ya ERM igishishwa, amaso yose yari afite ILM isigaye.Mumaso 74, ILM yari ihari kandi yarangiritse, mugihe mumaso 24, ILM yari ihari kandi ntiyangiritse.Mumaso 37, umuganga ubaga ntiyashoboye kumenya uko ILM ihagaze mbere yubururu bwiza bwa G.Ku mezi 6, logarithm yinguni ntoya yikemurwa neza-yakosowe neza neza yibonekeje yazamutse kuva kuri 0,75 ± 0.39 kuri baseline kugeza 0.31 ± 0.26 (P <0.0001).Umubyimba wo hagati wa makula wo hagati nawo wateye imbere kuva kuri 460 ± 91 mm kuri baseline kugeza kuri 297 ± 102 mm (P <0.003) .Icyerekezo cyo kugabanya imbere kiracyahari nyuma yo gukuramo ERM.Irangi hamwe nubururu bwiza bwa G bworohereza kumenyekana.