非手术治疗复杂性假晶状体性黄斑水肿合并黄斑裂孔的转归

RESOLUTION OF A MACULAR HOLE COMPLICATING A PSEUDOPHAKIC MACULAR EDEMA WITH NONSURGICAL TREATMENT.

作者信息

Lam Delphine, Srour Mayer, Semoun Oudy, Tilleul Julien, Souied Eric H

机构信息

Department of Ophthalmology, Hôpital Intercommunal de Creteil, Université Créteil Paris Est, Créteil, France.

出版信息

Retin Cases Brief Rep. 2018;12(2):131-135. doi: 10.1097/ICB.0000000000000446.

DOI:10.1097/ICB.0000000000000446

PMID:27787409

Abstract

BACKGROUND

Pseudophakic cystoid macular edema (PCME) is a common complication of cataract surgery. We report the management of a case presenting with PCME in his left eye complicated by a full-thickness macular hole (MH). Four weeks after a cataract surgery on his left eye, a 75-year-old man presented with a vision loss on the same eye (best-corrected visual acuity: 20/64). A PCME complicated by a full-thickness MH was diagnosed. After oral acetazolamide treatment, the PCME completely regressed and the full-thickness MH closed after medical treatment.

CONCLUSION

Macular edema may rarely lead to MHs, by inducing mechanical changes and probable inflammatory mechanisms as well as a thinning of the fovea. We report a case of spontaneous closure of MH complicating a PCME, with medical treatment.

摘要

背景

人工晶状体眼黄斑囊样水肿（PCME）是白内障手术的常见并发症。我们报告了一例左眼患有PCME并伴有全层黄斑裂孔（MH）的病例的治疗情况。一名75岁男性左眼白内障手术后四周，该眼出现视力丧失（最佳矫正视力：20/64）。诊断为伴有全层MH的PCME。口服乙酰唑胺治疗后，PCME完全消退，药物治疗后全层MH闭合。