T形黄斑扣带术联合25G玻璃体切除术治疗高度近视眼黄斑裂孔、黄斑劈裂和黄斑脱离
T-shaped macular buckling combined with 25G pars plana vitrectomy for macular hole, macular schisis, and macular detachment in highly myopic eyes.
作者信息
Mura Marco, Iannetta Danilo, Buschini Elisa, de Smet Marc D
机构信息
Department of Ophthalmology, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands.
Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, USA.
出版信息
Br J Ophthalmol. 2017 Mar;101(3):383-388. doi: 10.1136/bjophthalmol-2015-308124. Epub 2016 May 27.
OBJECTIVE
To report our experience using the T-shaped macular buckle (MB) with or without pars plana vitrectomy (PPV) as primary surgery or with a previous failed surgical approach in patients affected by high myopia and macular hole (MH) with or without macular detachment and with or without macular schisis. The primary goal was to evaluate complete closure of the MH and reattachment of the retina.
DESIGN
Retrospective case series of 21 consecutive patients who underwent T-shaped MB implant alone or combined with PPV at the Academic Medical Center in Amsterdam, The Netherlands, between January 2013 and November 2014. The mean axial length was 31.22 mm. The mean follow-up period was 7 months.
RESULTS
Retinal reattachment was achieved in 100% of cases while MH closure was achieved in 90.5%. No major perioperative complications were observed. Best corrected visual acuity improved in 71.4% of patients.
CONCLUSIONS
MB combined with PPV should be considered as the preferred surgical approach both in primary and recurrent retinal detachment secondary to MH in high myopic eyes.
目的
报告我们使用T形黄斑扣带术（MB）联合或不联合玻璃体切割术（PPV）作为原发性手术，或用于既往手术失败的高度近视合并黄斑裂孔（MH）患者（伴或不伴黄斑脱离以及伴或不伴黄斑劈裂）的经验。主要目标是评估MH的完全闭合以及视网膜的复位。
设计
对2013年1月至2014年11月期间在荷兰阿姆斯特丹学术医学中心连续接受单纯T形MB植入术或联合PPV的21例患者进行回顾性病例系列研究。平均眼轴长度为31.22 mm。平均随访期为7个月。
结果
100%的病例实现了视网膜复位，90.5%的病例实现了MH闭合。未观察到重大围手术期并发症。71.4%的患者最佳矫正视力得到改善。
结论
对于高度近视眼中继发于MH的原发性和复发性视网膜脱离，MB联合PPV应被视为首选的手术方法。
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