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曲安奈德和吲哚菁绿在高度近视所致黄斑裂孔和视网膜脱离中检测到的视网膜前组织的多种成分。

Multiple components of epiretinal tissues detected by triamcinolone and indocyanine green in macular hole and retinal detachment as a result of high myopia.

作者信息

Sakaguchi Hirokazu, Ikuno Yasushi, Choi Jun-Sub, Ohji Masahito, Tano Tasuo

机构信息

Osaka University Medical School, Department of Ophthalmology, Osaka, Japan.

出版信息

Am J Ophthalmol. 2004 Dec;138(6):1079-81. doi: 10.1016/j.ajo.2004.06.078.

Abstract

PURPOSE

To examine three layers of membranes detected by triamcinolone acetonide (TA) and indocyanine green (ICG) during surgery for macular hole and retinal detachment (MHRD) as a result of high myopia.

DESIGN

Histologic study.

METHODS

We excised three layers of membranes visualized with TA and ICG that were tightly adhering to the retinal surface during vitrectomy and examined them by transmission electron microscopy.

RESULTS

The first membrane was made of acellular collagen fibers, suggestive of vitreous, and the second was comprised of parts of fibroblast-like cells and collagen fibrils, suggesting a proliferative epiretinal membrane. The third membrane was an internal limiting membrane.

CONCLUSIONS

Multiple components of epiretinal tissue could be delaminated with the assistance of TA and ICG during surgery for myopic MHRD.

摘要

目的

研究在高度近视性黄斑裂孔合并视网膜脱离(MHRD)手术中,通过曲安奈德(TA)和吲哚菁绿(ICG)检测到的三层膜。

设计

组织学研究。

方法

我们切除了在玻璃体切除术中用TA和ICG显示的、紧密附着于视网膜表面的三层膜,并通过透射电子显微镜对其进行检查。

结果

第一层膜由无细胞胶原纤维组成,提示为玻璃体,第二层由部分成纤维细胞样细胞和胶原原纤维组成,提示为增殖性视网膜前膜。第三层膜为内界膜。

结论

在近视性MHRD手术中,视网膜前组织的多个成分可在TA和ICG的辅助下分层。

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