玻璃体切除术、内界膜剥除术及气体填充术治疗儿童外伤性黄斑裂孔：13例病例系列报道

Vitrectomy, Inner Limiting Membrane Peel, and Gas Tamponade in the Management of Traumatic Paediatric Macular Holes: A Case Series of 13 Patients.

作者信息

Brennan Nicholas, Reekie Ian, Khawaja Anthony P, Georgakarakos Nikolaos, Ezra Eric

机构信息

Moorfields Eye Hospital, London, UK.

出版信息

Ophthalmologica. 2017;238(3):119-123. doi: 10.1159/000477177. Epub 2017 Jul 29.

DOI:10.1159/000477177

PMID:28768260

Abstract

PURPOSE

To review the outcomes of pars plana vitrectomy, internal limiting membrane (ILM) peel, and gas tamponade in the management of traumatic paediatric macular holes.

METHODS

Retrospective case series of children undergoing vitrectomy, ILM peel, and gas tamponade for traumatic macular hole between March 2007 and July 2014. Main outcome measures were postoperative visual acuity at 3 and 12 months, anatomic closure rate, and surgical complications.

RESULTS

Anatomic macular hole closure was achieved in 12 (92.3%) of 13 cases. Mean preoperative logMAR visual acuity was 0.91 (95% CI 0.65-1.17) with improvement postoperatively to 0.54 (95% CI 0.43-0.64) at 3 months (p = 0.002) and 0.50 (95% CI 0.39-0.60) at 12 months (p = 0.002). There were no perioperative complications.

CONCLUSION

Pars plana vitrectomy and ILM peel is an effective management option for paediatric macular holes.

摘要

目的

回顾经平坦部玻璃体切除术、内界膜（ILM）剥除术及气体填充术治疗儿童外伤性黄斑裂孔的疗效。

方法

回顾性病例系列研究，纳入2007年3月至2014年7月间因外伤性黄斑裂孔接受玻璃体切除术、ILM剥除术及气体填充术的儿童患者。主要观察指标为术后3个月和12个月时的视力、解剖学上的闭合率及手术并发症。

结果

13例患者中有12例（92.3%）实现了黄斑裂孔的解剖学闭合。术前平均logMAR视力为0.91（95%可信区间0.65 - 1.17），术后3个月时改善至0.54（95%可信区间0.43 - 0.64）（p = 0.002），12个月时为0.50（95%可信区间0.39 - 0.60）（p = 0.002）。围手术期无并发症发生。