黄斑转位术能否成为治疗黄斑下脉络膜新生血管膜的理想方法？
Can macular translocation be a satisfactory management of subfoveal choroidal neovascular membrane?
作者信息
Bereczki Arpád, Bíró Zsolt
机构信息
"Petz Aladár" County Teaching Hospital, Department of Ophthalmology, 9002. Gy r, Vasvári Pál u. 2, Hungary.
出版信息
Clin Ophthalmol. 2008 Jun;2(2):447-50.
PURPOSE
To report histopathological observations regarding one of our macular translocation cases.
METHODS
We have performed macular translocation with 360 degree retinotomy since 1997, and limited macular translocation with or without subretinal membrane removal since 2002. One of our patients died on the fifth postoperative day, so extensive histological examination of the removed neovascular membrane and entire globe was performed.
RESULTS
We found that pigment epithelium remained attached to the neurosensory retina during retinal separation, in which case the rotated fovea will be relocated in a partially devoided pigment epithelial zone. In addition, even after complete surgical removal of the membrane during macular translocation, large membrane remnants are still detectable by histological examination.
CONCLUSION
In our opinion, macular translocation is not a satisfactory management of subfoveal neovascular membranes, because of changes in the pigment epithelium during surgery, and large subretinal neovascular membrane remnants.
目的
报告我们其中一例黄斑转位病例的组织病理学观察结果。
方法
自1997年起我们进行了360度视网膜切开的黄斑转位手术，自2002年起进行了有或没有视网膜下膜切除的局限性黄斑转位手术。我们的一名患者在术后第五天死亡，因此对切除的新生血管膜和整个眼球进行了广泛的组织学检查。
结果
我们发现，在视网膜分离过程中色素上皮仍附着于神经感觉视网膜，在这种情况下，旋转后的中央凹将重新定位在部分缺乏色素上皮的区域。此外，即使在黄斑转位手术中完全手术切除膜后，组织学检查仍可检测到大量膜残留。
结论
我们认为，黄斑转位不是治疗黄斑下新生血管膜的理想方法，原因是手术过程中色素上皮发生变化，以及视网膜下新生血管膜大量残留。
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