用于治疗伴有视盘小凹的难治性黄斑脱离的改良内界膜翻转瓣技术
Refined Internal Limiting Membrane Inverted Flap Technique for Intractable Macular Detachment with Optic Disc Pit.
作者信息
Hara Rumiko, Tsukahara Yasutomo, Simoyama Tsuyoshi, Mori Soutarou
机构信息
Department of Ophthalmology, Kakogawa Central City Hospital, Kakogawa, Japan.
出版信息
Case Rep Ophthalmol. 2017 Apr 4;8(1):208-213. doi: 10.1159/000462956. eCollection 2017 Jan-Apr.
PURPOSE
To report a surgical technique for retinal detachment associated with optic disc pit (ODP) by using an internal limiting membrane (ILM) inverted flap as an obstacle between the vitreous cavity and subretinal space.
CASE PRESENTATION
A 43-year-old man presented with decreased visual acuity in the right eye for 1 week due to macular detachment associated with ODP. After 2 unsuccessful surgeries, the retina was reattached by vitrectomy with an ILM inverted flap onto the ODP.
CONCLUSION
Covering the pit with an inverted ILM flap is a reliable method for intercepting fluid from the vitreous cavity. Immediate absorption of subretinal fluid may lead to early macular attachment. This technique would be effective in managing ODP.
目的
报告一种通过使用内界膜（ILM）翻转瓣作为玻璃体腔与视网膜下间隙之间的屏障来治疗与视盘小凹（ODP）相关的视网膜脱离的手术技术。
病例介绍
一名43岁男性因与ODP相关的黄斑脱离导致右眼视力下降1周前来就诊。在两次手术失败后，通过玻璃体切除术将ILM翻转瓣覆盖在ODP上，视网膜得以复位。
结论
用ILM翻转瓣覆盖视盘小凹是一种拦截来自玻璃体腔液体的可靠方法。视网膜下液的立即吸收可能导致黄斑早期附着。该技术在治疗ODP方面将是有效的。
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