色素性视网膜炎的双侧板层黄斑裂孔手术
BILATERAL LAMELLAR MACULAR HOLE SURGERY IN RETINITIS PIGMENTOSA.
作者信息
Rush Ryan B, Rush Sloan W
机构信息
*Southwest Retina Specialists, Amarillo, Texas; †Panhandle Eye Group, Amarillo, Texas; and ‡Texas Tech University Health Science Center, Amarillo, Texas.
出版信息
Retin Cases Brief Rep. 2016 Winter;10(1):83-5. doi: 10.1097/ICB.0000000000000166.
PURPOSE
To report the visual and anatomical outcomes after surgical repair of bilateral lamellar macular holes in a patient with retinitis pigmentosa.
METHODS
A 66-year-old woman with a 39-year history of retinitis pigmentosa presented with decreased visual acuity in both eyes. On examination, she was diagnosed with lamellar macular holes in both eyes. She underwent pars plana vitrectomy with internal limiting membrane peeling and short-term gas tamponade in both eyes.
RESULTS
The macular holes were successfully closed in both eyes. The patient's best-corrected Snellen visual acuity improved from 20/60⁻² to 20/30⁻¹ in the right eye and from 20/70⁻¹ to 20/40⁻¹ in the left eye at 6 months of postoperative follow-up.
CONCLUSION
Bilateral lamellar macular holes are rare occurrences in patients with retinitis pigmentosa; improved visual and anatomical outcomes can result after surgical intervention.
目的
报告一名视网膜色素变性患者双侧板层黄斑裂孔手术修复后的视力和解剖学结果。
方法
一名有39年视网膜色素变性病史的66岁女性，双眼视力下降。检查发现她双眼患有板层黄斑裂孔。她接受了双眼的玻璃体切除联合内界膜剥除及短期气体填充术。
结果
双眼黄斑裂孔均成功闭合。术后6个月随访时，患者右眼最佳矫正视力从20/60⁻²提高到20/30⁻¹，左眼从20/70⁻¹提高到20/40⁻¹。
结论
双侧板层黄斑裂孔在视网膜色素变性患者中罕见；手术干预后可改善视力和解剖学结果。
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