Saika Shizuya, Hayashi Yuko, Miyamoto Takeshi, Yoshitomi Takeshi, Ohnishi Yoshitaka
Department of Ophthalmology, Wakayama Medical University, 811-1 Kimiidera, Japan.
Graefes Arch Clin Exp Ophthalmol. 2002 Jul;240(7):578-9. doi: 10.1007/s00417-002-0471-1. Epub 2002 Jun 7.
To describe the first case of multiple retinal holes in the macular region successfully treated with vitrectomy.
A single case report. A 44-year-old man was treated for impaired vision caused by multiple macular holes in the right eye.
Fundus examinations detected six retinal holes in the right macula and a giant macular hole in the left eye. Optical coherence tomography disclosed multiple vitreoretinal adhesions in the right macula. We vitrectomized the right eye to produce posterior vitreous detachment and then tamponaded the vitreous cavity with 20% SF(6) gas, resulting in closure of holes and improvement of the vision.
Multiple macular holes may be treated by surgical posterior detachment combined with gas tamponade. Vitreoretinal adhesions are a possible cause of these holes. Similar multiple holes may have coalesced into one giant hole in this patient's left eye.
描述首例经玻璃体切除术成功治疗的黄斑区多发性视网膜裂孔病例。
单病例报告。一名44岁男性因右眼多发性黄斑裂孔导致视力受损而接受治疗。
眼底检查发现右眼黄斑区有六个视网膜裂孔，左眼有一个巨大黄斑裂孔。光学相干断层扫描显示右眼黄斑区有多处玻璃体视网膜粘连。我们对右眼进行了玻璃体切除术以产生玻璃体后脱离，然后用20%的六氟化硫气体填充玻璃体腔，从而使裂孔闭合且视力得到改善。
多发性黄斑裂孔可通过手术性玻璃体后脱离联合气体填充进行治疗。玻璃体视网膜粘连可能是这些裂孔的一个病因。在该患者的左眼，类似的多个裂孔可能已融合成一个巨大裂孔。
