Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, China.
Eur J Ophthalmol. 2022 May;32(3):NP41-NP45. doi: 10.1177/1120672121990633. Epub 2021 Jan 28.
To describe a technique of internal limiting membrane (ILM) peeling without vitrectomy for the treatment of laser-induced macular holes in two children.
ILM peeling was performed under the vitreous hyaloid, and the vitreous was retained. Slit lamp and optical coherence tomographic examinations were performed before and after surgery.
Macular holes were closed with different patterns at different time in the two patients, while visual acuity improved significantly in both of them eventually.
The technique of ILM peeling in the absence of vitrectomy can promote the closure of laser-induced macular holes and minimize the surgical procedure, with few vitrectomy complications in pediatric patients. The closure pattern may vary on account of different injury sources and extents.
描述一种在玻璃体切割术之外应用内界膜（ILM）剥离技术治疗 2 例儿童激光诱导黄斑裂孔的方法。
在玻璃体-视网膜界面下进行 ILM 剥离，保留玻璃体。术前及术后行裂隙灯和光学相干断层扫描检查。
2 例患者的黄斑裂孔以不同的方式和时间闭合，最终视力均显著提高。
对于儿童患者，在玻璃体切割术之外进行 ILM 剥离术可以促进激光诱导黄斑裂孔的闭合，减少手术步骤，同时减少玻璃体切割术的并发症。由于不同的损伤来源和程度，闭合模式可能会有所不同。
