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扩大内界膜剥除术治疗异常大的黄斑裂孔

Extended internal limiting membrane peeling in the management of unusually large macular holes.

作者信息

Al Sabti Khalid, Kumar Niranjan, Azad Raj Vardhan

机构信息

Al Bahar Eye Center, Safat, Kuwait.

出版信息

Ophthalmic Surg Lasers Imaging. 2009 Mar-Apr;40(2):185-7. doi: 10.3928/15428877-20090301-03.

DOI:10.3928/15428877-20090301-03
PMID:19320310
Abstract

This study was conducted to determine the feasibility, efficacy, and safety of internal limiting membrane peeling in the management of large macular moles. Two patients whose eyes had macular holes measuring 1,147 and 773 microns in diameter, respectively, were treated by pars plana vitrectomy with extended internal limiting membrane peeling and the injection of long-acting gas. Preoperative and postoperative assessment of the macular holes was done by optical coherence tomography. Postoperatively, the macular holes closed and there was improvement in visual acuity. Extended internal limiting membrane peeling can be performed to achieve surgical success in very large macular holes.

摘要

本研究旨在确定内界膜剥除术治疗巨大黄斑痣的可行性、有效性和安全性。两名患者,其黄斑裂孔直径分别为1147微米和773微米,接受了经平坦部玻璃体切除术,术中进行了扩大的内界膜剥除并注入长效气体。通过光学相干断层扫描对黄斑裂孔进行术前和术后评估。术后,黄斑裂孔闭合,视力得到改善。对于非常大的黄斑裂孔,可通过扩大的内界膜剥除术取得手术成功。

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