Tosi Gian Marco, Martone Gianluca, Balestrazzi Angelo, Malandrini Alex, Alegente Marco, Pichierri Patrizia
Department of Ophthalmology and Neurosurgery, University of Siena, 53100 Siena, Italy.
J Ophthalmol. 2009;2009:617891. doi: 10.1155/2009/617891. Epub 2010 Jan 13.
Purpose. To report a patient who experienced visual field loss progression after vitrectomy for an idiopathic stage II macular hole. Methods. Case report. A 68-year-old woman, with no history of glaucoma or any neuroophthalmological diseases, underwent a vitrectomy for a macular hole. Results. The patient showed macular hole closure and a resulting central visual acuity of 20/20. However, two months after surgery, she developed an inferotemporal visual field defect. Moreover, seven months after surgery, the patient noticed an enlargement of the temporal blind area: a nearly complete temporal defect was confirmed on visual field testing. Conclusions. Although the beneficial results of successfully treated macular holes are unquestionable, this report raises the possibility that visual field defects following macular hole surgery may be progressive.
目的。报告一例特发性II期黄斑裂孔玻璃体切除术后视野缺损进展的患者。方法。病例报告。一名68岁女性，无青光眼或任何神经眼科疾病史，因黄斑裂孔接受了玻璃体切除术。结果。患者黄斑裂孔闭合，中心视力恢复至20/20。然而，术后两个月，她出现了颞下视野缺损。此外，术后七个月，患者注意到颞侧盲区扩大：视野检查证实颞侧几乎完全缺损。结论。尽管成功治疗黄斑裂孔的有益结果是毋庸置疑的，但本报告提出了黄斑裂孔手术后视野缺损可能会进展的可能性。
