Small K W, McCuen B W, de Juan E, Machemer R
Department of Ophthalmology, Duke University Medical Center, Durham, NC 27710.
Am J Ophthalmol. 1989 Jul 15;108(1):10-4. doi: 10.1016/s0002-9394(14)73253-2.
We reviewed the results of vitreous surgery in 12 eyes of 12 patients with tractional macular detachment from Toxocara canis. We performed a vitrectomy and membrane peeling in all eyes, with additional scleral buckling in four eyes. After a minimum of six months' follow-up, ten of the 12 eyes (83%) had complete retinal reattachment. Visual acuity improved in seven eyes, two had no change, and three eyes had decreased visual acuity. Good postoperative vision correlated best with good preoperative vision. Preoperative traction retinal folds through the macula were associated with a poor visual outcome.
我们回顾了12例犬弓蛔虫所致牵引性黄斑脱离患者12只眼的玻璃体手术结果。所有患眼均行玻璃体切除术及膜剥除术，4只眼额外行了巩膜扣带术。经过至少6个月的随访，12只眼中有10只（83%）实现了视网膜完全复位。7只眼视力提高，2只眼视力无变化，3只眼视力下降。术后视力良好与术前视力良好的相关性最强。术前黄斑区存在牵引性视网膜皱襞与视力预后不良相关。
