Cox M S, Witherspoon C D, Morris R E, Flynn H W
William Beaumont Hospital, Royal Oak, MI.
Ophthalmology. 1988 Jul;95(7):889-96. doi: 10.1016/s0161-6420(88)33078-2.
Fourteen patients with macular detachments caused by optic nerve pits were treated for progressive visual loss, cystoid macular changes, or atrophy of the macular retinal pigment epithelium. Photocoagulation of the temporal disc border alone was unsuccessful in two cases but promptly reattached the macula of two patients immobilized after laser surgery. Vitrectomy and gas tamponade improved vision and flattened the macula of three patients over various periods. The detachment recurred in one patient. Prompt and sustained macular reattachment with improved vision was noted after photocoagulation, vitrectomy, and gas tamponade in eight patients, although four required second operations. The prompt reattachment and visual recovery noted in these eight patients surpasses the reported 25% rate of spontaneous resolution.
14例因视神经凹陷导致黄斑脱离的患者，因视力进行性下降、黄斑囊样改变或黄斑视网膜色素上皮萎缩而接受治疗。仅颞侧视盘边缘光凝在2例患者中未成功，但使2例激光手术后固定的患者黄斑迅速复位。玻璃体切除术联合气体填充在不同时期改善了3例患者的视力并使黄斑变平。1例患者黄斑脱离复发。8例患者在光凝、玻璃体切除术和气体填充后黄斑迅速且持续复位，视力改善，尽管其中4例需要二次手术。这8例患者中观察到的迅速复位和视力恢复超过了报道的25%的自发缓解率。
