黄斑裂孔由视网膜下全氟碳残留引起，该残留随后在自发消退后闭合：一例报告。
Macular Hole Caused by Retained Subfoveal Perfluorocarbon that Subsequently Closed After Its Spontaneous Resolution: A Case Report.
作者信息
Tanabu Reiko, Suzuki Yukihiko, Suzuki Kaori, Takahashi Shizuka, Nakazawa Mitsuru, Mizutani Hideyuki
机构信息
Department of Ophthalmology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Mizutani Eye Clinic, Aomori, Japan.
出版信息
Ophthalmol Ther. 2017 Dec;6(2):381-384. doi: 10.1007/s40123-017-0107-5. Epub 2017 Sep 20.
INTRODUCTION
To prevent local reduction in retinal function caused by retained subretinal perfluorocarbon liquid (PFCL), it has been noted that removal of PFCL under the fovea should be considered, with a vitrectomy selected for such removal.
CASE REPORT
A vitrectomy was performed for traumatic retinal detachment during which PFCL was temporarily used as an intraocular tamponade for retina flattening. Following surgery, subfoveal PFCL was retained beneath the retina. Two months later, a macular hole developed and visual acuity decreased to 20/100, for which a vitrectomy was planned as treatment. However, the macular hole spontaneously closed and visual acuity eventually recovered to 20/25.
CONCLUSION
Our findings indicate that PFCL retained underneath the retina in the macular region can cause a macular hole, though spontaneous discharge may subsequently occur, leading to resolution.
引言
为防止因视网膜下全氟碳液体（PFCL）残留导致局部视网膜功能下降，有人指出应考虑清除黄斑下的PFCL，并选择玻璃体切除术进行清除。
病例报告
因外伤性视网膜脱离行玻璃体切除术，术中临时使用PFCL作为眼内填充物使视网膜复位。术后，黄斑下PFCL保留在视网膜下方。两个月后，出现黄斑裂孔，视力降至20/100，为此计划行玻璃体切除术进行治疗。然而，黄斑裂孔自行闭合，视力最终恢复至20/25。
结论
我们的研究结果表明，黄斑区视网膜下残留的PFCL可导致黄斑裂孔，尽管随后可能会自发排出，从而使其消退。
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