自体视网膜移植物对大外伤性黄斑裂孔的功能和形态评估。

Functional and morphological evaluation of autologous retinal graft in large traumatic macular hole.

机构信息

Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana; Retina and Uveitis Department, GMR Varalakshmi Campus, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.

Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India.

出版信息

Indian J Ophthalmol. 2019 Oct;67(10):1760-1762. doi: 10.4103/ijo.IJO_312_19.

DOI:10.4103/ijo.IJO_312_19

PMID:31546557

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6786180/

Abstract

A 7-year-old boy presented with history of blunt trauma 1 month back. Best corrected visual acuity (BCVA) was 20/200 with optical coherence tomography (OCT) showing a large macular hole. Spontaneous closure of the macular hole seemed unlikely following a month of observation. Pars plana vitrectomy along with autologous retinal graft was performed. At subsequent follow up, hole appeared closed with nasal shrinkage of graft and BCVA improved to 20/100. OCT showed mechanical integration of the graft with adjoining retina. Autologous retinal graft is a feasible option in cases where conventional internal limiting membrane peeling shows lower anatomical success.

摘要

一位 7 岁男孩因 1 个月前的钝挫伤就诊。最佳矫正视力（BCVA）为 20/200，光学相干断层扫描（OCT）显示大的黄斑裂孔。观察 1 个月后，黄斑裂孔似乎不太可能自行闭合。行标准经睫状体平坦部玻璃体切除术联合自体视网膜移植术。随后的随访中，裂孔闭合，移植物向鼻侧收缩，BCVA 提高至 20/100。OCT 显示移植物与邻近视网膜的机械性整合。在传统的内界膜剥除术显示较低的解剖成功率的情况下，自体视网膜移植是一种可行的选择。