联合内界膜瓣和自体血浆浓缩物封闭小儿外伤性大黄斑裂孔。
COMBINED INTERNAL LIMITING MEMBRANE FLAP AND AUTOLOGOUS PLASMA CONCENTRATE TO CLOSE A LARGE TRAUMATIC MACULAR HOLE IN A PEDIATRIC PATIENT.
机构信息
Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina; and.
Department of Biomedical Engineering, Duke University, Durham, North Carolina.
出版信息
Retin Cases Brief Rep. 2021 Mar 1;15(2):107-109. doi: 10.1097/ICB.0000000000000762.
PURPOSE
To describe a case of a large, traumatic macular hole in a pediatric patient closed using an internal limiting membrane flap in combination with autologous plasma concentrate (APC).
METHODS
Description of a surgical technique as performed in one patient.
RESULTS
Successful macular hole closure and improvement in postoperative visual acuity were achieved in the patient in whom the technique was performed.
CONCLUSION
The combined use of APC with the internal limiting membrane flap is advantageous because the APC acts to hold the internal limiting membrane in proper position and promotes the proliferation of glial cells through the presence of growth factors. This technique may be particularly advantageous in chronic or recalcitrant holes particularly in the setting of trauma.
目的
描述一例使用内界膜瓣联合自体血浆浓缩物（APC）封闭的小儿外伤性大黄斑裂孔病例。
方法
描述在 1 例患者中进行的手术技术。
结果
在接受该技术治疗的患者中，成功封闭了黄斑裂孔并提高了术后视力。
结论
内界膜瓣联合 APC 的使用具有优势，因为 APC 可将内界膜保持在适当位置，并通过生长因子促进神经胶质细胞的增殖。该技术在慢性或难治性裂孔，尤其是在创伤情况下可能特别有利。
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