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用视网膜下 42 号套管引流视盘小凹黄斑病变的视网膜下液:一种新的手术方法。

Drainage of subretinal fluid in optic disc pit maculopathy using subretinal 42-gauge cannula: a new surgical approach.

机构信息

Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WH, United Kingdom.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2010 May;248(5):751-3. doi: 10.1007/s00417-010-1321-1. Epub 2010 Mar 2.

Abstract

BACKGROUND

Different surgical approaches have been used for the treatment of optic disc pit associated maculopathy, with increasing emphasis on vitrectomy.

METHODS

Case report

RESULTS

We report a case of optic disc pit maculopathy where vitrectomy was combined with subretinal fluid drainage using a 42-gauge subretinal cannula connected to a "back-flush" flute handle. No retinopexy was performed at the site of drainage. This technique resulted in almost complete resolution of subretinal fluid by 6 weeks, with visual acuity improving from 1.00 Log MAR preoperatively to 0.40 at 8 months after surgery.

CONCLUSION

We describe a novel technique for subretinal fluid drainage using a subretinal 42-G cannula connected to a standard "back flush" flute in optic disc pit-associated maculopathy.

摘要

背景

不同的手术方法已被用于治疗视盘小凹相关的黄斑病变,玻璃体切除术的应用日益受到重视。

方法

病例报告

结果

我们报告了一例视盘小凹黄斑病变患者,在该病例中,玻璃体切除术联合使用了连接到“反冲”通管手柄的 42 号视网膜下液引流管进行视网膜下液引流。在引流部位未进行视网膜光凝。这种技术在 6 周时几乎完全解决了视网膜下液,术后 8 个月视力从术前的 1.00 LogMAR 提高到 0.40。

结论

我们描述了一种在视盘小凹相关黄斑病变中使用连接到标准“反冲”通管手柄的视网膜下 42 号套管进行视网膜下液引流的新技术。

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