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用于治疗伴有脉络膜破裂和视网膜下出血的大型外伤性黄斑裂孔的内翻瓣技术

Inverted flap technique for a large traumatic macular hole with choroidal rupture and subretinal hemorrhage.

作者信息

Astir Stuti, Shroff Daraius, Gupta Charu, Shroff Cyrus

机构信息

Department of Vitreo-Retinal Surgery, Shroff Eye Centre, New Delhi, India.

出版信息

Oman J Ophthalmol. 2018 Jan-Apr;11(1):68-70. doi: 10.4103/0974-620X.226348.

DOI:10.4103/0974-620X.226348
PMID:29563702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5848355/
Abstract

Large traumatic macular holes (TMHs) tend to be irregular and have a variable predictability. The inverted flap technique makes use of remnants of internal limiting membrane (ILM) at the periphery of the MH. The peeled-off ILM contains Müller cell fragments which can induce gliosis and help in closure of MH. We operated on a case of large TMH (~899 μ minimum linear diameter) with choroidal rupture and subretinal hemorrhage in a young female with the inverted flap technique of ILM peeling and observed successful closure of the MH. The excellent anatomical and surgical results achieved in our case seem to suggest this to be a safe and effective surgical manoeuvre for such cases.

摘要

大型外伤性黄斑裂孔（TMHs）往往不规则，且具有不同的可预测性。倒置瓣技术利用黄斑裂孔周边的内界膜（ILM）残余物。剥离的ILM包含 Müller 细胞碎片，这些碎片可诱导胶质增生并有助于黄斑裂孔的闭合。我们对一名年轻女性的大型TMH（最小线性直径约899μm）合并脉络膜破裂和视网膜下出血的病例采用ILM剥离的倒置瓣技术进行手术，并观察到黄斑裂孔成功闭合。我们病例中取得的出色解剖学和手术结果似乎表明，对于此类病例，这是一种安全有效的手术操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/42a0a43095c8/OJO-11-68-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/702bda42ced0/OJO-11-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/7f0c56890c16/OJO-11-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/bdac5def7bb9/OJO-11-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/251408fbe324/OJO-11-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/42a0a43095c8/OJO-11-68-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/702bda42ced0/OJO-11-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/7f0c56890c16/OJO-11-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/bdac5def7bb9/OJO-11-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/251408fbe324/OJO-11-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6d2/5848355/42a0a43095c8/OJO-11-68-g005.jpg

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