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特发性黄斑裂孔反转内界膜瓣技术后脉络膜新生血管:改良瓣的适应证。

Choroidal neovascularisation following inverted internal limiting membrane flap technique for idiopathic macular hole: a case for modified flaps.

机构信息

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

出版信息

BMJ Case Rep. 2021 Jan 18;14(1):e238604. doi: 10.1136/bcr-2020-238604.

Abstract

A 70-year-old woman presented with sudden decrease of vision 2 months following a successful vitrectomy with inverted internal limiting membrane flap for a full thickness macular hole. Serial review of fundus pictures and optical coherence tomography scans revealed a focal retinal pigment epithelial disruption at the site of the macular hole after surgery and a choroidal neovascular membrane arising from the same. This report describes the possible role of the surgical technique in causation of the membrane and discusses modifications to avoid the same.

摘要

一位 70 岁女性在成功接受玻璃体切除联合内界膜翻转术治疗全层黄斑裂孔后 2 个月出现视力突然下降。眼底照片和光学相干断层扫描的连续复查显示,手术后黄斑裂孔处出现局灶性视网膜色素上皮破裂,且同一部位出现脉络膜新生血管膜。本报告描述了手术技术在膜形成中的可能作用,并讨论了避免这种情况的技术改进。

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