Sydney Eye Hospital, Macquarie University, Sydney, New South Wales, Australia.
Clin Exp Ophthalmol. 2012 Jan-Feb;40(1):88-92. doi: 10.1111/j.1442-9071.2011.02666.x. Epub 2011 Nov 15.
To document the occurrence of postoperative macular translocation after retinal detachment repair and discuss its influence on visual outcome.
Retrospective case series in a tertiary care setting.
Five eyes of five patients presenting to our clinic with macula-off rhegmatogenous retinal detachment.
All patients underwent surgical repair of the retinal detachment, with regular postoperative follow-up, including macular optical coherence tomography and fundus autofluorescence.
Visual acuity and subjective visual symptoms in patients with anatomically successful retinal detachment repair, in whom inadvertent macular translocation was noted.
Our series demonstrates the presence of unintentional macular translocation after retinal detachment repair, detected by fundus autofluorescence imaging. In contrast to previous reports, we document inadvertent macular translocation in one patient after scleral buckling surgery. In each case, the retina was fully reattached postoperatively and no other complications were identified. There was variability in the symptoms and objective visual outcomes after surgery.
Inadvertent macular translocation can occur following repair of macula-off retinal detachment, and may be a significant contributor to poorer visual outcome after retinal detachment, despite objective surgical success.
记录孔源性视网膜脱离修复术后黄斑移位的发生，并探讨其对视功能预后的影响。
在三级医疗机构中进行的回顾性病例系列研究。
我们的临床共纳入 5 例 5 眼孔源性视网膜脱离伴黄斑脱离的患者。
所有患者均接受视网膜脱离修复手术，术后定期进行随访，包括黄斑光学相干断层扫描和眼底自发荧光检查。
视网膜脱离修复成功患者的视力和主观视觉症状，这些患者的黄斑发生了无意中的移位。
我们的研究系列显示，在接受视网膜脱离修复后，通过眼底自发荧光成像发现了黄斑的非故意移位。与之前的报道不同，我们在 1 例巩膜扣带术后患者中发现了黄斑的意外移位。在每例患者中，术后视网膜均完全复位，且未发现其他并发症。术后症状和客观视觉结果存在差异。
黄斑脱离的视网膜脱离修复后可发生黄斑意外移位，尽管手术成功，但这可能是视网膜脱离后视力预后较差的一个重要原因。
