前囊膜在慢性全层黄斑裂孔治疗中的应用

ANTERIOR LENS CAPSULE IN THE MANAGEMENT OF CHRONIC FULL-THICKNESS MACULAR HOLE.

作者信息

Yepez Juan B, Murati Felipe A, De Yepez Jazmin, Petitto Michele, Arevalo J Fernando

机构信息

Department of Vitreoretinal Surgery, Clinica de Ojos, Maracaibo, Venezuela.

Department of Pediatric Ophthalmology and Strabismus, Clinica de Ojos, Maracaibo, Venezuela.

出版信息

Retin Cases Brief Rep. 2018;12(4):286-290. doi: 10.1097/ICB.0000000000000513.

DOI:10.1097/ICB.0000000000000513

PMID:28033231

Abstract

PURPOSE

To report the use of anterior lens capsule flap transplantation in two cases with chronic full-thickness macular hole (MH).

METHODS

Case series.

RESULTS

Two cases of chronic MH with a new treatment approach were reported. In the first case, a 66-year-old man presented with a chronic idiopathic MH in the left eye for 2 years. Presenting visual acuity was hand motion. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. At 5 months postoperatively, the visual acuity was 20/200 with MH closure. In the second case, a 68-year-old woman presented with decreased visual acuity for 2 years. Her visual acuity was hand motion in the right eye. The patient underwent phacoemulsification and vitrectomy with anterior lens capsule flap transplantation in the MH. Visual acuity improved to 20/400 with reduction in the MH diameter. Vision and MH diameter remained stable over 5 months postoperatively.

CONCLUSION

Lens capsular flap transplantation is useful in closing chronic MH in the short term.

摘要

目的

报告在前部晶状体囊瓣移植术治疗两例慢性全层黄斑裂孔（MH）中的应用。

方法

病例系列。

结果

报告了两例采用新治疗方法的慢性MH病例。第一例，一名66岁男性，左眼慢性特发性MH 2年。就诊时视力为手动。患者接受了白内障超声乳化吸除术、玻璃体切除术并在前部晶状体囊瓣移植至MH处。术后5个月，视力为20/200，MH闭合。第二例，一名68岁女性，视力下降2年。右眼视力为手动。患者接受了白内障超声乳化吸除术、玻璃体切除术并在前部晶状体囊瓣移植至MH处。视力提高到20/400，MH直径减小。术后5个月视力和MH直径保持稳定。