黄斑下全氟碳液体引流术后黄斑裂孔的自发闭合
SPONTANEOUS CLOSURE OF MACULAR HOLE AFTER DRAINAGE OF SUBFOVEAL PERFLUOROCARBON LIQUID.
作者信息
Casswell Edward J, Banerjee Philip J, Charteris David G, Sullivan Paul M
机构信息
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, United Kingdom.
出版信息
Retin Cases Brief Rep. 2017;11(3):240-242. doi: 10.1097/ICB.0000000000000340.
PURPOSE
To report a rare case of macular hole formation after drainage of subretinal perfluorocarbon liquid (PFCL), which closed spontaneously.
METHODS
Retrospective case report. A 60-year-old was noted to have subfoveal PFCL after a macula-involving retinal detachment repair with silicone oil tamponade. Spectral domain optical coherence tomography (Spectralis; Heidelberg Engineering, Heidelberg, Germany) was used for postoperative imaging.
RESULTS
Two months postdetachment repair, the patient underwent removal of silicone oil and drainage of subfoveal PFCL using a 41-gauge cannula through a extrafoveal retinotomy. A full-thickness macular hole was noted 2 weeks postoperatively. This closed spontaneously 4 months later, with an improvement in vision, although there was evidence of subfoveal atrophy.
CONCLUSION
Macular hole formation can occur after drainage of subfoveal PFCL, with a favorable prognosis if managed conservatively. The resultant foveal atrophy highlights the importance of early identification and removal of subretinal PFCL.
目的
报告1例视网膜下全氟碳液体（PFCL）引流后黄斑裂孔形成的罕见病例，该裂孔自行闭合。
方法
回顾性病例报告。1例60岁患者在硅油填充修复累及黄斑的视网膜脱离后，发现黄斑下有PFCL。术后采用谱域光学相干断层扫描（Spectralis；德国海德堡海德堡工程公司）进行成像。
结果
视网膜脱离修复术后2个月，患者通过黄斑外视网膜切开术，使用41号套管针进行硅油取出和黄斑下PFCL引流。术后2周发现全层黄斑裂孔。4个月后该裂孔自行闭合，视力有所改善，尽管有黄斑下萎缩的迹象。
结论
黄斑下PFCL引流后可发生黄斑裂孔，保守治疗预后良好。由此导致的黄斑萎缩凸显了早期识别和清除视网膜下PFCL的重要性。
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