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近视性黄斑劈裂的治疗:黄斑扣带术和玻璃体切除术。

Treatment of myopic foveoschisis macular buckling and vitrectomy.

作者信息

Xiong Si-Qi, Jiang Hai-Bo, Li Fang-Ling, Li Yan-Xiu, Yang Jie, Xia Xiao-Bo, Xu Hui-Zhuo

机构信息

Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.

出版信息

Int J Ophthalmol. 2017 May 18;10(5):815-818. doi: 10.18240/ijo.2017.05.26. eCollection 2017.

Abstract

The aim of the present study was to evaluate the efficacy and safety of the treatment of myopic foveoschisis patients using the macular buckling with L-shaped titanium plate and silicon sponge combined with vitrectomy. The data of the patients who underwent macular buckling combined with vitrectomy was collected. The study recorded the following parameters: best corrected visual acuity (BCVA), axial length, intraocular pressure, central macular thickness, and the position of the titanium plate. Following the surgery, the BCVA of the included patients were improved, whereas the axial lengths were reduced followed by resolution of the foveoschisis compared with that noted prior to the operations. All patients had orbital CT examination and the results indicated that the titanium plates were appropriately placed and were not in contact with the optic nerve. Therefore, it is effective to treat myopic foveaschisis by macular buckling using the L-shaped titanium plate and silicon sponge in the presence of vitrectomy.

摘要

本研究的目的是评估采用L形钛板和硅海绵联合玻璃体切除术进行黄斑扣带术治疗近视性黄斑劈裂患者的疗效和安全性。收集接受黄斑扣带术联合玻璃体切除术患者的数据。该研究记录了以下参数:最佳矫正视力(BCVA)、眼轴长度、眼压、黄斑中心厚度以及钛板位置。手术后,纳入患者的BCVA得到改善,而眼轴长度缩短,与手术前相比黄斑劈裂得到缓解。所有患者均进行了眼眶CT检查,结果表明钛板放置恰当,未与视神经接触。因此,在玻璃体切除术的情况下,使用L形钛板和硅海绵进行黄斑扣带术治疗近视性黄斑劈裂是有效的。

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