全层黄斑孔合并渗出性年龄相关性黄斑变性的手术治疗。
SURGICAL MANAGEMENT OF FULL-THICKNESS MACULAR HOLE SUPERIMPOSED ON EXUDATIVE AGE-RELATED MACULAR DEGENERATION.
机构信息
National Retina Institute, Towson, Maryland.
出版信息
Retin Cases Brief Rep. 2021 May 1;15(3):211-213. doi: 10.1097/ICB.0000000000000786.
BACKGROUND/PURPOSE: We describe a case of full-thickness macular hole formation in a patient with exudative age-related macular degeneration after an intravitreal ranibizumab injection and its surgical management.
METHODS
This case is a retrospective, interventional case report.
RESULTS
A 77-year-old woman with bilateral exudative age-related macular degeneration and pre-existing retinal pigment epithelium tear developed a full-thickness macular hole after intravitreal ranibizumab. The macular hole was repaired successfully with pars plana vitrectomy, internal limiting membrane peel, and 16% C3F8 gas fill.
CONCLUSION
To the best of our knowledge, this is the first reported case of full-thickness macular hole after a retinal pigment epithelium tear repaired successfully with vitrectomy, resulting in improved visual acuity.
背景/目的：我们描述了一例湿性年龄相关性黄斑变性患者在玻璃体内雷珠单抗注射后出现全层黄斑裂孔，并对其进行了手术治疗。
方法
本病例为回顾性、干预性病例报告。
结果
一名 77 岁女性，双眼患有渗出性年龄相关性黄斑变性和预先存在的视网膜色素上皮撕裂，在玻璃体内雷珠单抗注射后出现全层黄斑裂孔。通过玻璃体切割术、内界膜剥除术和 16% C3F8 气体填充成功修复了黄斑裂孔。
结论
据我们所知，这是首例报告的视网膜色素上皮撕裂修复后成功行玻璃体切割术治疗全层黄斑裂孔的病例，视力得到改善。
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