El-Amir Ahmed N, Every Sean, Patel Chetan Kantibhai
Oxford Eye Hospital, Oxford, UK.
Clin Exp Ophthalmol. 2007 Dec;35(9):791-2. doi: 10.1111/j.1442-9071.2006.01403.x.
Here the management of a macular fold complicating retinal reattachment surgery is discussed. The macular fold was repaired by a technique similar to that used in retinal translocation surgery. Direct injection into the macular fold was performed, which caused a linear, rather than the intended concentric, detachment of the retina. Permanent flattening of the macula fold was achieved and the best-corrected Snellen visual acuity was 6/12 at 6 months. The importance of intervention, advantages and disadvantages of this technique and alternative methods of managing such cases are discussed. It may be prudent to consider peripheral, rather than direct, injection into the macular fold to detach the macula in such cases.
本文讨论了视网膜复位手术中并发黄斑皱襞的处理。采用了一种类似于视网膜移位手术的技术修复黄斑皱襞。对黄斑皱襞进行了直接注射，这导致视网膜呈线性而非预期的同心性脱离。黄斑皱襞实现了永久性变平，6个月时最佳矫正视力为6/12。讨论了干预的重要性、该技术的优缺点以及处理此类病例的替代方法。在这种情况下，考虑对黄斑皱襞进行周边而非直接注射以分离黄斑可能是谨慎的做法。
