高度近视眼中黄斑视网膜劈裂和黄斑中心凹脱离的无内界膜剥除玻璃体切除术
Vitrectomy without internal limiting membrane peeling for macular retinoschisis and foveal detachment in highly myopic eyes.
作者信息
Yeh Shu-I, Chang Wei-Chun, Chen Lee-Jen
机构信息
Department of Ophthalmology, Mackay Memorial Hospital, Taipei, Taiwan.
出版信息
Acta Ophthalmol. 2008 Mar;86(2):219-24. doi: 10.1111/j.1600-0420.2007.00974.x. Epub 2007 Aug 2.
PURPOSE
To report the surgical outcome of pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling in three highly myopic patients with macular retinoschisis and associated posterior staphyloma.
METHODS
We report three highly myopic patients with macular retinoschisis and foveal detachment who underwent simple PPV without ILM peeling, with long-acting gas tamponade. Main outcome evaluations included best corrected visual acuity, biomicroscopic appearance and optical coherence tomography findings.
RESULTS
Pars plana vitrectomy without ILM peeling resulted in anatomic and functional improvement in all three operated eyes for follow-up periods of > or = 12 months.
CONCLUSIONS
Pars plana vitrectomy without ILM peeling is effective for treating macular retinoschisis and foveal detachment in highly myopic eyes with posterior staphyloma. Visual and anatomic outcomes are comparable with those in previous studies in which ILM removal was performed.
目的
报告在三名患有黄斑视网膜劈裂症及相关后巩膜葡萄肿的高度近视患者中，不进行内界膜（ILM）剥除的玻璃体切割术（PPV）的手术结果。
方法
我们报告了三名患有黄斑视网膜劈裂症和黄斑中心凹脱离的高度近视患者，他们接受了不进行ILM剥除的单纯PPV手术，并使用了长效气体填充。主要结局评估指标包括最佳矫正视力、生物显微镜检查结果和光学相干断层扫描结果。
结果
在随访时间≥12个月的情况下，不进行ILM剥除的玻璃体切割术使所有三只手术眼在解剖结构和功能上均得到改善。
结论
对于患有后巩膜葡萄肿的高度近视眼中的黄斑视网膜劈裂症和黄斑中心凹脱离，不进行ILM剥除的玻璃体切割术是有效的。视觉和解剖学结果与先前进行ILM切除的研究结果相当。
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