用于黄斑裂孔合并孔源性视网膜脱离的人羊膜塞
Human Amniotic Membrane Plug for Macular Holes Coexisting with Rhegmatogenous Retinal Detachment.
作者信息
Abouhussein Mahmoud Alaa, Elbaha Samir Mohamed, Aboushousha Mohsen
机构信息
Ophthalmology, Alexandria University, Alexandria, Egypt.
出版信息
Clin Ophthalmol. 2020 Aug 24;14:2411-2416. doi: 10.2147/OPTH.S272060. eCollection 2020.
PURPOSE
To evaluate the efficacy of human amniotic membrane in promoting closure of macular holes coexisting with rhegmatogenous retinal detachment.
METHODS
This is a retrospective case series of 14 eyes (14 patients) with macula off retinal detachment. These patients had a macular hole coexistent with peripheral retinal breaks. A human amniotic membrane plug was used to close the macular hole during vitrectomy without ILM peeling.
RESULTS
The mean preoperative BCVA (logMAR value) was 1.87 ± 0.31. At the 6-month follow-up visit, the mean LogMAR best-corrected visual acuity was 0.67 ± 0.17. At the 6-month follow-up, all patients showed complete retinal reattachment with macular hole closure.
CONCLUSION
The use of human amniotic membrane is a valid option in surgery for macular holes coexisting with rhegmatogenous retinal detachment.
目的
评估人羊膜在促进与孔源性视网膜脱离并存的黄斑裂孔闭合中的疗效。
方法
这是一项对14只眼（14例患者）黄斑脱离视网膜脱离的回顾性病例系列研究。这些患者存在黄斑裂孔并伴有周边视网膜裂孔。在玻璃体切除术中使用人羊膜塞来闭合黄斑裂孔，不进行内界膜剥除。
结果
术前平均BCVA（logMAR值）为1.87±0.31。在6个月随访时，平均LogMAR最佳矫正视力为0.67±0.17。在6个月随访时，所有患者均显示视网膜完全复位且黄斑裂孔闭合。
结论
人羊膜的使用是治疗与孔源性视网膜脱离并存的黄斑裂孔手术中的一种有效选择。
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