Xirou Tina, Kidess Andrej, Kourentis Christina, Xirou Vasiliki, Feretis Elias, Kabanarou Stamatina A
Retina Department, Hellenic Red Cross General Hospital, Athens, Greece.
Clin Ophthalmol. 2012;6:571-4. doi: 10.2147/OPTH.S30107. Epub 2012 Apr 12.
The purpose of this study was to investigate lamellar macular hole formation in six patients after rhegmatogenous retinal detachment repair.
A retrospective review of medical records of patients who underwent primary pars plana vitrectomy for rhegmatogenous retinal detachment repair was performed. Optical coherence tomography characteristics and best-corrected visual acuity were evaluated. Patients who developed lamellar macular hole after pars plana vitrectomy for rhegmatogenous retinal detachment repair were identified.
A total of 1185 eyes underwent pars plana vitrectomy for retinal detachment between 2004 and 2009. Optical coherence tomography evaluation was available in 450 cases. Six of these cases demonstrated lamellar macular hole formation, which was diagnosed by OCT-3. The mean time from retinal detachment surgery to lamellar hole diagnosis was 4.1 months. The presence of an epiretinal membrane on the surface of the juxtafoveal retina was a common finding in all six patients. Visual acuity was improved after successful retinal reattachment and remained unchanged after lamellar hole formation.
Lamellar macular holes developing after pars plana vitrectomy is a rare complication. Stability of optical coherence tomography findings and best-corrected visual acuity after lamellar macular hole formation may be observed for at least two years.
本研究旨在调查6例孔源性视网膜脱离修复术后患者的板层黄斑裂孔形成情况。
对接受原发性玻璃体切除术治疗孔源性视网膜脱离的患者病历进行回顾性分析。评估光学相干断层扫描特征和最佳矫正视力。确定在接受玻璃体切除术治疗孔源性视网膜脱离后出现板层黄斑裂孔的患者。
2004年至2009年间，共有1185只眼接受了玻璃体切除术治疗视网膜脱离。450例患者可进行光学相干断层扫描评估。其中6例显示有板层黄斑裂孔形成，由OCT-3诊断。从视网膜脱离手术到诊断出板层裂孔的平均时间为4.1个月。在所有6例患者中，黄斑旁视网膜表面均可见视网膜前膜。视网膜成功复位后视力提高，板层裂孔形成后视力保持不变。
玻璃体切除术后发生板层黄斑裂孔是一种罕见的并发症。板层黄斑裂孔形成后，光学相干断层扫描结果和最佳矫正视力至少在两年内可能保持稳定。
