Department of Ophthalmology, Eye & ENT Hospital of Fudan University, 83 Fenyang Road, Shanghai 200031, People's Republic of China.
BMC Ophthalmol. 2014 Sep 18;14:111. doi: 10.1186/1471-2415-14-111.
Macular hole related retinal detachment is a common entity with poor surgical prognosis in highly myopic eyes. We describe the first case of spontaneous closure of a macular hole with complete retinal reattachment in a highly myopic eye with posterior staphyloma.
A 64-year-old Chinese woman with high myopia was diagnosed as having a macular hole-related retinal detachment with vitreo-retinal traction in her right eye by optical coherence tomography. Thirty-three months later, the macular hole closed, with formation of a lamellar hole and decreased retinal detachment. Twelve months later, retinal reattachment was found to have occurred, accompanied by the development of macular retinoschisis. Fifty-four months after initial examination, the retina remained attached with a lamellar hole and retinoschisis in the macular area. The vitreo-retinal traction persisted during the follow-up period.
As evidenced by the current case, in highly myopic eyes, the vitreoretinal traction force, which contributes to a macular hole and retinal detachment, could be partially released by the development of a lamellar hole or foveal schisis. This reduction of traction might contribute to retinal reattachment.
黄斑裂孔相关性视网膜脱离是一种常见的疾病，在高度近视眼中手术预后较差。我们描述了首例后葡萄肿高度近视眼中黄斑裂孔自发闭合并完全视网膜复位的病例。
一名 64 岁中国女性右眼被诊断为黄斑裂孔相关性视网膜脱离合并玻璃体积血和视网膜牵引。33 个月后，黄斑裂孔闭合，形成板层裂孔，视网膜脱离减少。12 个月后，发现视网膜复位，同时出现黄斑视网膜劈裂。初次检查后 54 个月，视网膜仍附着于黄斑区的板层裂孔和视网膜劈裂。随访期间，玻璃体视网膜牵引持续存在。
目前的病例表明，在高度近视眼中，导致黄斑裂孔和视网膜脱离的玻璃体视网膜牵引力量可能会因板层裂孔或中心凹劈裂的形成而部分释放，这种牵引的减少可能有助于视网膜复位。
