Gregori Ninel, Flynn Harry W
Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Ophthalmic Surg Lasers Imaging. 2010 Jul 29;41 Online:1-4. doi: 10.3928/15428877-20100726-10.
The authors report surgical outcomes of full-thickness macular hole repair in two patients with idiopathic macular telangiectasia in a non-comparative case series. Both patients underwent pars plana vitrectomy with indocyanine green-assisted internal limiting membrane peeling and injection of 16% C(3)F(8) gas. Patients were imaged with optical coherence tomography (OCT) before and after surgery. The first patient demonstrated macular hole closure on examination and OCT with visual improvement from 20/50 preoperatively to 20/30 after macular hole surgery and subsequent cataract surgery. The second patient's hole closed per OCT immediately after surgery but reopened 4 months later, and visual acuity remained 20/70. Macular hole surgery may be an effective treatment in patients with idiopathic macular telangiectasia and full-thickness macular holes and should be further investigated.
作者在一个非对照病例系列中报告了两名特发性黄斑毛细血管扩张症患者全层黄斑裂孔修复的手术结果。两名患者均接受了玻璃体切割术，术中使用吲哚菁绿辅助内界膜剥除，并注入16%的C₃F₈气体。术前和术后均使用光学相干断层扫描（OCT）对患者进行成像。第一名患者经检查和OCT显示黄斑裂孔闭合，视力从术前的20/50提高到黄斑裂孔手术后及随后白内障手术后的20/30。第二名患者术后经OCT检查裂孔立即闭合，但4个月后重新裂开，视力仍为20/70。黄斑裂孔手术可能是治疗特发性黄斑毛细血管扩张症和全层黄斑裂孔患者的有效方法，应进一步研究。
