Patterson J A, Ezra E, Gregor Z J
Vitreoretinal Unit, Moorfields Eye Hospital, London, United Kingdom.
Am J Ophthalmol. 2001 Jun;131(6):799-800. doi: 10.1016/s0002-9394(00)00906-5.
To report the occurrence of a full-thickness macular hole in the early postoperative period after uncomplicated phacoemulsification cataract surgery.
Retrospective analysis of a consecutive series of eyes referred for treatment of a full-thickness macular hole after uncomplicated phacoemulsification cataract surgery.
In a 4-year period, five eyes with acute full-thickness macular hole after uncomplicated phacoemulsification cataract surgery were examined. Metamorphopsia and vision loss had occurred 2 to 8 (mean, 4.4) days after phacoemulsification. All eyes had attained normal corrected vision on day 1 postoperatively. A stage 2 full-thickness macular hole was present in four of the five, and a stage 3 full-thickness macular hole in one of the five eyes with acuities of 20/60--20/120 (median, 20/80). All five eyes had successful closure with early primary full-thickness macular hole surgery with visual improvement to 20/20-- 20/60 (median, 20/40).
Full-thickness macular hole may occur rarely during the early postoperative period after uncomplicated phacoemulsification, and early diagnosis and full-thickness macular hole surgery carries a favorable prognosis. The mechanisms underlying macular hole formation in these eyes are unclear.
报告单纯白内障超声乳化吸除术后早期发生的全层黄斑裂孔情况。
对单纯白内障超声乳化吸除术后因全层黄斑裂孔前来治疗的一系列连续病例进行回顾性分析。
在4年期间，对5只单纯白内障超声乳化吸除术后发生急性全层黄斑裂孔的眼睛进行了检查。视物变形和视力下降发生在超声乳化术后2至8天（平均4.4天）。所有眼睛术后第1天矫正视力均正常。5只眼中4只存在2期全层黄斑裂孔，1只存在3期全层黄斑裂孔，视力为20/60至20/120（中位数为20/80）。所有5只眼睛通过早期原发性全层黄斑裂孔手术成功闭合，视力提高到20/20至20/60（中位数为20/40）。
单纯白内障超声乳化吸除术后早期可能很少发生全层黄斑裂孔，早期诊断并进行全层黄斑裂孔手术预后良好。这些眼睛中黄斑裂孔形成的机制尚不清楚。
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