Hwang Y S, Lai C C, Yang K J, Chen T L
Department of Opthalmology, Chang Gung Memorial Hospital, 5, Fu-Hsing Street, Kweishan, Taoyuan 333, Taiwan, R.O.C.
Chang Gung Med J. 2001 Aug;24(8):530-5.
A 28-year-old female was diagnosed as having an airbag-related traumatic macular hole in the right eye 9 days subsequent to a traffic accident. Four weeks after the trauma, the patient's visual acuity was deteriorating to 20/600. Following vitrectomy, membrane peeling, use of autologous serum and intraocular gas tamponade, the hole healed within 12 days, more rapidly than the expected interval for the treatment of a traumatic macular hole. The visual acuities at the 3-month and 1-year follow-up examinations were 20/50, much better than the conventional surgical treatment of idiopathic macular hole and comparable to previous reports of the treatment of traumatic macular hole. Vitrectomy procedure has been proved to be effective for the treatment of traumatic macular hole. Vitrectomy combined with membrane peeling, autologous serum and intraocular gas tamponade can heal the traumatic macular hole more rapidly than the conventional treatment with vitrectomy only.
一名28岁女性在交通事故发生9天后被诊断为右眼因安全气囊导致创伤性黄斑裂孔。创伤后四周，患者视力恶化为20/600。玻璃体切除、膜剥除、使用自体血清及眼内气体填塞术后，裂孔在12天内愈合，比创伤性黄斑裂孔治疗的预期时间更快。3个月和1年随访检查时的视力为20/50，比特发性黄斑裂孔的传统手术治疗效果好得多，与先前创伤性黄斑裂孔治疗的报道相当。玻璃体切除术已被证明对创伤性黄斑裂孔的治疗有效。玻璃体切除联合膜剥除、自体血清及眼内气体填塞比单纯玻璃体切除的传统治疗能更快治愈创伤性黄斑裂孔。
