羊膜塞促进创伤后慢性黄斑裂孔闭合
Amniotic Membrane Plug to Promote ChronicPost-Traumatic Macular Hole Closure.
作者信息
Caporossi Tomaso, Pacini Bianca, De Angelis Lorenzo, Rizzo Stanislao
出版信息
Ophthalmic Surg Lasers Imaging Retina. 2019 Dec 1;51(1):50-52. doi: 10.3928/23258160-20191211-07.
BACKGROUND AND OBJECTIVE
To assess the efficacy of the amniotic membrane (AM) to close a chronic post-traumatic macular hole (PTMH).
PATIENTS AND METHODS
A patient affected by PTMH derived from a blunt trauma occurring 25 years ago who had never undergone surgery was referred to the authors' clinic. He underwent a pars plana vitrectomy (PPV) with an AM plug implant in the macular hole (MH) and 20% sulfur hexafluoride (SF) as endotamponade. The patient was positioned face-down for the first 5 postoperative days.
RESULTS
Prior to surgery, the MH displayed an internal diameter of 971 μm, and the preoperative best-corrected visual acuity (BCVA) was 20/400 (1.3 logMAR). Optical coherence tomography (OCT) showed a chronic MH with flat margins. Ten days after surgery, BCVA was 20/200 (1 logMAR), and the MH was closed. Three months after surgery, BCVA improved to 20/100 (0.7 logMAR), and the MH remained closed. No adverse events were registered during the follow-up period.
CONCLUSION
AM plug seems to be useful to close chronic PTMH with good BCVA recovery. [Ophthalmic Surg Lasers Imaging Retina. 2020;51:50-52.].
背景与目的
评估羊膜（AM）封闭慢性创伤后黄斑裂孔（PTMH）的疗效。
患者与方法
一名25年前因钝器伤导致PTMH且从未接受过手术的患者被转诊至作者所在诊所。他接受了玻璃体切割术（PPV），在黄斑裂孔（MH）处植入AM塞，并注入20%的六氟化硫（SF）作为眼内填充物。术后前5天患者保持面朝下体位。
结果
手术前，MH的内径为971μm，术前最佳矫正视力（BCVA）为20/400（1.3 logMAR）。光学相干断层扫描（OCT）显示为边缘平坦的慢性MH。术后10天，BCVA为20/200（1 logMAR），MH已封闭。术后3个月，BCVA提高到20/100（0.7 logMAR），MH仍保持封闭状态。随访期间未记录到不良事件。
结论
AM塞似乎有助于封闭慢性PTMH，并能使BCVA得到良好恢复。[《眼科手术、激光与视网膜成像》。2020；51：50 - 52。]
Zotero 插件