Benson Sarah E, Barton Keith, Gregor Zdenek J
Moorfields Eye Hospital, City Road, London EC1V 2PD, United Kingdom.
Am J Ophthalmol. 2004 Sep;138(3):487-9. doi: 10.1016/j.ajo.2004.03.024.
To describe a patient with resolved hypotony maculopathy with a persistent retinal fold (despite normalization of intraocular pressure [IOP]) who underwent successful surgical intervention by vitrectomy, internal limiting membrane peel, and gas tamponade.
Interventional case report.
A 55-year-old man with a hypotony-induced macular retinal fold that did not improve following normalization of IOP underwent vitrectomy, internal limiting membrane peeling, and gas injection. Optical coherence tomography scans were performed both before and after surgery.
Best-corrected visual acuity (BCVA) improved from 6/60 preoperatively to 6/9, with improvement in distortion. On repeat optical coherence tomography examination, the macular retinal fold had resolved.
Vitrectomy, internal limiting membrane peeling and gas tamponade may be useful for cases of resolved hypotony maculopathy complicated by a persistent macular fold after normalization of IOP.
描述一名低眼压性黄斑病变已缓解但仍存在持续性视网膜皱褶（尽管眼压[IOP]已恢复正常）的患者，该患者接受了玻璃体切除术、内界膜剥除术和气体填充术，并获得成功。
介入性病例报告。
一名55岁男性，因低眼压导致黄斑视网膜皱褶，在眼压恢复正常后仍未改善，遂接受了玻璃体切除术、内界膜剥除术和气体注入。术前和术后均进行了光学相干断层扫描。
最佳矫正视力（BCVA）从术前的6/60提高到6/9，视物变形情况有所改善。再次进行光学相干断层扫描检查时，黄斑视网膜皱褶已消失。
对于眼压恢复正常后仍合并持续性黄斑皱褶的低眼压性黄斑病变已缓解的病例，玻璃体切除术、内界膜剥除术和气体填充术可能有效。
