Reibaldi Michele, Avitabile Teresio, Uva Maurizio Giacinto, Occhipinti Francesco, Toro Mario, Zagari Marco, Russo Andrea
Department of Ophthalmology, University of Catania, 95100 Catania, Italy.
Case Rep Ophthalmol Med. 2011;2011:931038. doi: 10.1155/2011/931038. Epub 2011 Sep 8.
Introduction. To describe anatomical and functional features in one patient with 10 years of severe vitreomacular traction syndrome (VTS) without functional damage demonstrated by optical coherence tomography (OCT). Patient and Methods. One patient with a history of 10 years VTS, with best-corrected visual acuity of 20/32, was followed up with OCT. Follow-up examinations, 3 months for the first year after diagnosis and every 6 months for the subsequent years, were performed. Results. Follow-up examinations showed no change anatomically and functionally. Far and near visual acuity was unchanged. OCT by Heidelberg Spectralis did not evidence differences from Stratus OCT images. Conclusion. VTS can be stable anatomically and functionally for 10 years. OCT is a valuable diagnostic tool in understanding the configuration of vitreomacular adhesion, followup, and eventually planning the surgical approach for operating on VTS.
引言。描述一名患有严重玻璃体黄斑牵引综合征(VTS)达10年的患者的解剖学和功能特征,光学相干断层扫描(OCT)显示其无功能损害。患者与方法。一名有10年VTS病史、最佳矫正视力为20/32的患者接受了OCT随访。随访检查在诊断后的第一年每3个月进行一次,随后几年每6个月进行一次。结果。随访检查显示在解剖学和功能方面均无变化。远近视力未变。海德堡Spectralis OCT与Stratus OCT图像相比未显示出差异。结论。VTS在解剖学和功能上可稳定10年。OCT是了解玻璃体黄斑粘连形态、进行随访以及最终规划VTS手术方案的有价值的诊断工具。