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正视眼中黄斑裂孔成功封闭后持续性黄斑脱离及其处理

Persistent macular detachment after successful macular hole closure and its management in an emmetropic eye.

作者信息

Nagesha C K, Fazal Romana, Ganne Pratyusha

机构信息

Department of Vitreo-Retina, B W Lions Super Speciality Eye Hospital, Bengaluru, Karnataka, India.

Department of Vitreo-Retina, Aravind Eye Hospital, Puducherry, India.

出版信息

Oman J Ophthalmol. 2020 Nov 2;13(3):167-168. doi: 10.4103/ojo.OJO_221_2019. eCollection 2020 Sep-Dec.

DOI:10.4103/ojo.OJO_221_2019
PMID:33542610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7852428/
Abstract

Macular hole with a concomitant macular detachment is unusual in emmetropic eyes. A middle aged women was operated for a full thickness macular hole with inverted flap technique. There was persistence of subretinal fluid for 4 months even after the hole was successfully closed. A second surgery was performed to remove the highly viscous subretinal fluid. This report highlights the technical difficulties in managing such cases. This case also highlights the need for recognition of coexisting pathologies before deciding the surgery.

摘要

正视眼中伴有黄斑脱离的黄斑裂孔并不常见。一名中年女性接受了全层黄斑裂孔的倒转瓣技术手术。即使裂孔成功闭合后，视网膜下液仍持续存在4个月。进行了第二次手术以清除高度黏稠的视网膜下液。本报告强调了处理此类病例的技术难点。该病例还强调了在决定手术前识别并存病变的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/2b6f7f27b04d/OJO-13-167-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/332736c3b528/OJO-13-167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/09e7fd1c76b3/OJO-13-167-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/2b6f7f27b04d/OJO-13-167-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/332736c3b528/OJO-13-167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/09e7fd1c76b3/OJO-13-167-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6d/7852428/2b6f7f27b04d/OJO-13-167-g003.jpg

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本文引用的文献

1
Extramacular drainage of subretinal fluid during vitrectomy for macular hole retinal detachment in high myopia.高度近视黄斑裂孔性视网膜脱离玻璃体切除术中视网膜下液的黄斑外引流
Retina. 2014 Jun;34(6):1096-102. doi: 10.1097/IAE.0000000000000044.
2
Management of central retinal detachment due to a macular hole.黄斑裂孔所致视网膜中央脱离的治疗
Br J Ophthalmol. 1973 May;57(5):351-4. doi: 10.1136/bjo.57.5.351.