有症状的板层黄斑裂孔的玻璃体切除术。
Vitrectomy for a symptomatic lamellar macular hole.
作者信息
Garretson Bruce R, Pollack John S, Ruby Alan J, Drenser Kimberly A, Williams George A, Sarrafizadeh Ramin
机构信息
Associated Retinal Consultants, Royal Oak, Michigan 48073, USA.
出版信息
Ophthalmology. 2008 May;115(5):884-886.e1. doi: 10.1016/j.ophtha.2007.06.029. Epub 2007 Dec 11.
PURPOSE
To investigate the surgical findings and outcomes after vitrectomy for a lamellar macular hole (LMH).
DESIGN
Retrospective, consecutive, interventional case series.
PARTICIPANTS
Twenty-seven patients (27 eyes) with a lamellar macular hole and central vision loss.
INTERVENTION
All patients underwent 3-port vitrectomy with internal limiting membrane (ILM) stripping by one of the authors. Best-corrected visual acuity (BCVA) and appearance by optical coherence tomography (OCT) were obtained preoperatively and postoperatively.
MAIN OUTCOME MEASURES
Preoperative and postoperative BCVA and OCT imaging.
RESULTS
Visual acuity improved postoperatively in 25 of 27 eyes (93%), with a mean improvement of 3.2 Snellen lines. Preoperative and postoperative OCT images were obtained in 24 of 27 eyes (89%) and were judged to have improved or normalized in 22 of 24 (92%) of these patients.
CONCLUSION
In patients with central visual loss from a lamellar macular hole, vitrectomy with ILM stripping appears to be a beneficial treatment.
目的
探讨板层黄斑裂孔（LMH）玻璃体切除术后的手术发现及预后。
设计
回顾性、连续性、干预性病例系列。
研究对象
27例（27眼）板层黄斑裂孔伴中心视力丧失患者。
干预措施
所有患者均由作者之一行三通道玻璃体切除术并剥除内界膜（ILM）。术前及术后均测量最佳矫正视力（BCVA）并进行光学相干断层扫描（OCT）检查。
主要观察指标
术前及术后BCVA及OCT成像。
结果
27眼中25眼（93%）术后视力提高，平均提高3.2行Snellen视力表视力。27眼中24眼（89%）获得术前及术后OCT图像，其中24眼中22眼（92%）的图像显示改善或恢复正常。
结论
对于因板层黄斑裂孔导致中心视力丧失的患者，玻璃体切除联合ILM剥除术似乎是一种有效的治疗方法。
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