玻璃体切除术联合视乳头周围内界膜剥除术治疗与正常眼压性青光眼相关的黄斑视网膜劈裂症
Vitrectomy with peripapillary internal limiting membrane peeling for macular retinoschisis associated with normal-tension glaucoma.
作者信息
Ishikawa Keijiro, Fukui Takuma, Nakao Shintaro, Shiose Satomi, Sonoda Koh-Hei
机构信息
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
出版信息
Am J Ophthalmol Case Rep. 2020 Mar 17;18:100663. doi: 10.1016/j.ajoc.2020.100663. eCollection 2020 Jun.
PURPOSE
Although vitrectomy has been reported to be effective for the treatment of macular retinoschisis associated with glaucoma in a few case series, the surgical techniques have yet to be established. This article aimed to describe the cases of two patients with macular retinoschisis who underwent vitrectomy with peripapillary internal limiting membrane peeling around the defective area of the retinal nerve fiber layer.
OBSERVATIONS
Both patients had been diagnosed with normal tension glaucoma and treated with eye drops to stabilize intraocular pressure. Progression of macular retinoschisis and accompanied vision loss were observed in both cases. Twelve months after the surgery, both patients had resolution of the retinoschisis and improvement in best corrected visual acuity.
CONCLUSIONS AND IMPORTANCE
Our surgical technique may be effective for the resolution of macular retinoschisis in eyes with normal tension glaucoma.
目的
尽管在一些病例系列报道中，玻璃体切除术被认为对治疗与青光眼相关的黄斑视网膜劈裂有效，但手术技术尚未确立。本文旨在描述两名黄斑视网膜劈裂患者的病例，这两名患者在视网膜神经纤维层缺损区域周围进行了视乳头周围内界膜剥除的玻璃体切除术。
观察结果
两名患者均被诊断为正常眼压性青光眼，并使用眼药水治疗以稳定眼压。在这两个病例中均观察到黄斑视网膜劈裂的进展及伴随的视力丧失。手术后12个月，两名患者的视网膜劈裂均得到缓解，最佳矫正视力得到改善。
结论与意义
我们的手术技术可能对解决正常眼压性青光眼患者的黄斑视网膜劈裂有效。
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