玻璃体切除术联合消毒空气与曲安奈德治疗特发性黄斑前膜的疗效对比OA

Objective:To evaluate the efficacy of combined vitrectomy(PPV)with disinfected air and triamcinolone for the treatment of idiopathic epiretinal membrane(IERM),providing a reference for clinical treatment options.Method:A total of 100 patients with IERM admitted to Yichang Aier Eye Hospital from February 2022 to January 2025 were randomly assigned to Group A(n=50)and Group B(n=50).Group A received PPV combined with sterile air treatment,while Group B received PPV combined with triamcinolone treatment.The optimal best-corrected visual acuity(BCVA),central macular thickness(CMT),intraocular pressure,and incidence of complications were compared between the two groups at baseline and at 1 week,1 month,3 months,and 6 months postoperatively.Result:The BCVA at 1 month,3 months,and 6 months postoperatively was lower in Group B than in Group A,with statistically significant differences(P<0.05).Intraocular pressure at 1 week postoperatively was lower in Group B than in Group A,with statistically significant differences(P<0.05).The incidence of complications was lower in Group B than in Group A,with no statistically significant difference(P>0.05).Conclusion:The combination of PPV and triamcinolone demonstrates superior efficacy compared to disinfected air therapy in treating IERM,further improving patient vision,reducing CMT,and lowering intraocular pressure.