Amari F, Ogino N, Matsumura M, Negi A, Yoshimura N
Department of Ophthalmology, Shinshu University School of Medicine, Matsumoto, Japan.
Retina. 1999;19(5):410-3. doi: 10.1097/00006982-199909000-00007.
To review the anatomic and visual outcomes of a series of patients with traumatic macular holes who underwent vitreous surgery without adjunctive therapy.
We performed a retrospective chart review of 23 patients who underwent vitrectomy, fluid-gas exchange, and sulfur hexafluoride gas tamponade for traumatic macular holes. Anatomic success rate and final visual improvement after the surgery were studied.
Medical records of 23 patients (23 eyes) who underwent this procedure were reviewed. Closure of the macular hole was achieved in 16 (70%) eyes with one surgery and in 22 (96%) of the 23 eyes with two surgeries. The mean best-corrected preoperative visual acuity was 20/160, and postoperative visual acuity was 20/60 with a mean (+/- standard deviation) follow-up of 23+/-13 months (range 3-56 months). Fourteen (61 %) of the 23 eyes achieved a best-corrected postoperative visual acuity of 20/60 or better, and 11 (48%) of the 23 eyes achieved 20/40 or better. Twenty (87%) of the 23 eyes achieved at least two lines of visual improvement.
Vitreous surgery without adjunctive therapy for traumatic macular holes can lead to anatomic success and visual acuity improvement in most eyes.
回顾一系列外伤性黄斑裂孔患者在未接受辅助治疗的情况下接受玻璃体手术的解剖学和视觉效果。
我们对23例因外伤性黄斑裂孔接受玻璃体切除术、液-气交换和六氟化硫气体填塞的患者进行了回顾性病历审查。研究了手术的解剖学成功率和最终视力改善情况。
对23例接受该手术的患者（23只眼）的病历进行了审查。16只眼（70%）一次手术实现了黄斑裂孔闭合，23只眼中的22只眼（96%）两次手术实现了闭合。术前平均最佳矫正视力为20/160，术后视力为20/60，平均（±标准差）随访23±13个月（范围3 - 56个月）。23只眼中的14只眼（61%）术后最佳矫正视力达到20/60或更好，23只眼中的11只眼（48%）达到20/40或更好。23只眼中的20只眼（87%）至少提高了两行视力。
外伤性黄斑裂孔在未接受辅助治疗的情况下进行玻璃体手术可使大多数眼睛获得解剖学成功和视力提高。
Zotero 插件