一名10岁女孩的特发性全层黄斑裂孔。
Idiopathic full thickness macular hole in a 10-year-old girl.
作者信息
Lim Li-Anne S, Fernandez-Sanz Guillermo, Levasseur Steven, Grigg John R, Hunyor Alex P
机构信息
1Sydney Hospital and Sydney Eye Hospital, Macquarie Street, Sydney, NSW Australia.
2Discipline of Ophthalmology, Sydney Eye Hospital Campus, University of Sydney, Macquarie Street, Sydney, NSW Australia.
出版信息
Int J Retina Vitreous. 2018 Jul 11;4:25. doi: 10.1186/s40942-018-0128-9. eCollection 2018.
BACKGROUND
Macular holes in children are generally associated with trauma.
CASE PRESENTATION
We report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid-air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure.
CONCLUSION
This is the first reported case of an idiopathic full thickness macular hole in a child. Treatment with pars plana vitrectomy with peeling of the ILM resulted in significant anatomic and functional improvement.
背景
儿童黄斑裂孔通常与外伤有关。
病例报告
我们报告了首例10岁女孩特发性全层黄斑裂孔病例。实施了23G经结膜平坦部玻璃体切除术、诱导玻璃体后脱离、内界膜蓝染辅助内界膜剥除、液气交换及空气-26%六氟化硫（SF6）交换，随后黄斑裂孔闭合。
结论
这是首次报道的儿童特发性全层黄斑裂孔病例。经平坦部玻璃体切除术联合内界膜剥除治疗取得了显著的解剖学和功能改善。
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