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黄斑裂孔手术联合内界膜剥除术后视网膜内硅油泡

Intraretinal silicone oil vacuoles after macular hole surgery with internal limiting membrane peeling.

作者信息

Chung Juliet, Spaide Richard

机构信息

Vitreous-Retina-Macula-Consultants of New York, NY, New York 10021, USA.

出版信息

Am J Ophthalmol. 2003 Oct;136(4):766-7. doi: 10.1016/s0002-9394(03)00450-1.

DOI:10.1016/s0002-9394(03)00450-1
PMID:14516832
Abstract

PURPOSE

To report the detection of intraretinal silicone oil vacuoles after the use of a silicone oil tamponade for macular hole surgery with internal limiting membrane (ILM) peeling.

DESIGN

Observational case report.

METHODS

A 57-year-old woman with a recurrent macular hole in the left eye underwent macular hole surgery with ILM peeling and silicone oil tamponade. After early silicone oil emulsification was detected, the silicone oil was removed.

RESULTS

Follow-up ophthalmoscopic examination and optical coherence tomography imaging revealed intraretinal silicone oil vacuoles in the area of ILM peeling.

CONCLUSIONS

Internal limiting membrane defects may facilitate the entry of silicone oil into the retina, leading to accumulation of oil vacuoles. The use of silicone oil in macular hole surgery with ILM peeling may complicate the postoperative outcome.

摘要

目的

报告在使用硅油填塞进行伴有内界膜(ILM)剥除的黄斑裂孔手术之后检测到视网膜内硅油空泡的情况。

设计

观察性病例报告。

方法

一名57岁左眼复发性黄斑裂孔女性接受了伴有ILM剥除和硅油填塞的黄斑裂孔手术。在检测到早期硅油乳化后,取出了硅油。

结果

随访眼底镜检查和光学相干断层扫描成像显示在ILM剥除区域存在视网膜内硅油空泡。

结论

内界膜缺损可能促使硅油进入视网膜,导致油泡积聚。在伴有ILM剥除的黄斑裂孔手术中使用硅油可能会使术后结果复杂化。

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