Wu Pei-Chang, Sheu Jiunn-Jye, Chen Yi-Hao, Chen Yung-Jen, Chen Chih-Hsin, Lee Jong-Jer, Huang Chih-Ling, Chen Chueh-Tan, Kuo Hsi-Kung
*Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China; and †Division of Thoracic and Cardiovascular Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.
Retina. 2017 Jul;37(7):1263-1269. doi: 10.1097/IAE.0000000000001376.
To evaluate a new application of an expanded polytetrafluoroethylene (Gore-Tex) vascular graft for use in macular buckling surgery for treatment of highly myopic eyes.
The Gore-Tex vascular graft was used as a macular buckling material in eight consecutive cases of myopic macular diseases which included fovea detachment, foveoschisis, or macular hole retinal detachment.
Retinal reattachment was achieved in all cases except one which had partial resolution (88%). The postoperative best-corrected visual acuity ranged from 20/2000 to 20/100 depending on the degree preexisting macular degeneration, and significant better than the preoperative best-corrected visual acuity (P = 0.048, paired t-test). During the follow-up period, which ranged from 8 months to 3 years, no eye developed buckle-related complications such as infection or dislocation.
The initial pilot results from this series using a Gore-Tex graft for macular buckling is promising. Throughout the follow-up period, the Gore-Tex was well tolerated in the highly myopic eyes. Large scale and long-term follow-up is warranted.
评估一种膨体聚四氟乙烯（戈尔特斯）血管移植物在高度近视眼黄斑扣带手术中的新应用。
将戈尔特斯血管移植物用作八例连续近视性黄斑疾病患者的黄斑扣带材料，这些疾病包括黄斑中心凹脱离、黄斑劈裂或黄斑裂孔性视网膜脱离。
除一例部分复位外，所有病例均实现视网膜复位（88%）。术后最佳矫正视力根据术前黄斑变性程度在20/2000至20/100之间，显著优于术前最佳矫正视力（P = 0.048，配对t检验）。在8个月至3年的随访期内，没有眼睛出现与扣带相关的并发症，如感染或移位。
本系列使用戈尔特斯移植物进行黄斑扣带的初步试验结果很有前景。在整个随访期内，高度近视眼对戈尔特斯耐受性良好。有必要进行大规模和长期随访。
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