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特发性黄斑裂孔手术联合硅油填充后早期光学相干断层扫描确定的黄斑特征

Early postoperative macular features determined by optical coherence tomography after idiopathic macular hole surgery with silicone oil tamponade.

作者信息

Hotta Kazuki

机构信息

Department of Ophthalmology, Kameda Medical Center, Kamogawa, Chiba, Japan.

出版信息

Ophthalmic Surg Lasers Imaging. 2005 Sep-Oct;36(5):426-31.

Abstract

The configuration of idiopathic macular holes in the early postoperative period after pars plana vitrectomy using optical coherence tomography through silicone oil was evaluated. Pars plana vitrectomy with internal limiting membrane peeling and silicone oil instillation was performed on 20 eyes. Optical coherence tomography images were obtained preoperatively and postoperatively. Nineteen eyes (95%) achieved a closed fovea. None of them had a transit foveal contour with flat retina without closure. In the early phase of postoperative idiopathic macular hole repair, inner retinal tissue closure rather than flattening of the fovea is essential for those undergoing pars plana vitrectomy with internal limiting membrane peeling and silicone oil instillation.

摘要

通过硅油利用光学相干断层扫描技术评估了在玻璃体切割术后早期特发性黄斑裂孔的形态。对20只眼进行了玻璃体切割联合内界膜剥除及硅油填充术。术前和术后均获取了光学相干断层扫描图像。19只眼(95%)实现了黄斑中心凹闭合。无一例出现中心凹轮廓过渡且视网膜平坦未闭合的情况。在特发性黄斑裂孔修复术后早期,对于接受玻璃体切割联合内界膜剥除及硅油填充术的患者,视网膜内层组织闭合而非黄斑中心凹变平至关重要。

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