外伤性和特发性黄斑裂孔手术后2型闭合延迟自发转变为1型闭合
Delayed, spontaneous conversion of type 2 closure to type 1 closure following surgery for traumatic and idiopathic macular holes.
作者信息
Rishi Pukhraj, Kothari Abhishek
机构信息
From Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Sankara Nethralaya, Chennai, India.
出版信息
Retin Cases Brief Rep. 2009 Spring;3(2):177-9. doi: 10.1097/ICB.0b013e3181607a39.
PURPOSE
To report delayed improvement in macular hole closure configuration from Type 2 to Type 1 occurring months after internal limiting membrane peeling in two patients with macular hole.
METHODS
Case 1 underwent surgery for a post-traumatic macular hole. Case 2 underwent surgery for an idiopathic macular hole.
RESULTS
Six weeks after surgery, Type 2 macular hole closure was documented by optical coherence tomography in both cases. Months later, spontaneous conversion of closure to Type 1 associated with visual gain was observed.
CONCLUSION
Delayed, spontaneous conversion of Type 2 closure to Type 1 closure can occur several months after surgery for traumatic and idiopathic macular holes. This may be associated with improved visual outcomes.
目的
报告两名黄斑裂孔患者在进行内界膜剥除术后数月，黄斑裂孔闭合形态从2型延迟改善为1型的情况。
方法
病例1因创伤性黄斑裂孔接受手术。病例2因特发性黄斑裂孔接受手术。
结果
术后六周，光学相干断层扫描显示两例均为2型黄斑裂孔闭合。数月后，观察到闭合自发转变为1型并伴有视力提高。
结论
创伤性和特发性黄斑裂孔手术后数月，2型闭合可延迟、自发地转变为1型闭合。这可能与视力改善相关。
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