Chen Yen-Po, Chen Tun-Lu, Chao An-Ning, Wu Wei-Chi, Lai Chi-Chun
Department of Ophthalmology, Chang Gung Memorial Hospital, Kuei Shan, Taoyuan, Taiwan.
Am J Ophthalmol. 2005 Aug;140(2):331-3. doi: 10.1016/j.ajo.2005.02.015.
To investigate the clinical characteristics and surgical outcome of traumatic macular hole-related retinal detachment.
Retrospective, interventional case series.
Eight eyes of eight patients with traumatic macular hole-related retinal detachment underwent vitrectomy combined with gas tamponade, either initially or subsequently. Anatomic re-attachment of the retina, closure of traumatic macular hole, and visual outcome were measured.
Successful retinal re-attachment was achieved in seven eyes (87.5%), and the macular hole was successfully closed in all eyes (100%). Improved vision after the surgery was noted in five eyes (62.5%), whereas three eyes (37.5%) displayed no change.
Vitrectomy combined with gas tamponade appears to give an effective anatomic re-attachment rate for traumatic macular hole-related retinal detachment. The presence of peripheral retinal breaks, vitreous hemorrhage, or the extent of retinal detachment has no discernible significant influence on closure rate of macular hole and retinal re-attachment rate.
探讨外伤性黄斑裂孔相关视网膜脱离的临床特征及手术效果。
回顾性、介入性病例系列研究。
8例患有外伤性黄斑裂孔相关视网膜脱离的患者的8只眼，最初或随后均接受了玻璃体切除术联合气体填充。测量视网膜的解剖复位、外伤性黄斑裂孔的闭合情况及视力结果。
7只眼（87.5%）实现了视网膜成功复位，所有眼（100%）的黄斑裂孔均成功闭合。5只眼（62.5%）术后视力提高，而3只眼（37.5%）视力无变化。
玻璃体切除术联合气体填充对外伤性黄斑裂孔相关视网膜脱离似乎能提供有效的解剖复位率。周边视网膜裂孔、玻璃体出血的存在或视网膜脱离的范围对黄斑裂孔闭合率和视网膜复位率无明显显著影响。
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