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自体晶状体囊瓣移植治疗持续性黄斑裂孔

Autologous Lens Capsule Flap Transplantation for Persistent Macular Holes.

作者信息

Cisiecki Sławomir, Bonińska Karolina, Bednarski Maciej

机构信息

Centrum Medyczne "Julianów", 91-321 Łódź, ul, Żeglarska 4, Poland.

出版信息

J Ophthalmol. 2021 Feb 27;2021:8148792. doi: 10.1155/2021/8148792. eCollection 2021.

DOI:10.1155/2021/8148792
PMID:33728059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7937468/
Abstract

PURPOSE

To analyze the anatomical and functional outcomes after autologous lens capsule transplantation in patients with persistent macular hole.

METHODS

This is a retrospective observational study of five eyes of five patients treated with vitrectomy and autologous lens capsular flap transplantation. Complete ophthalmic examination was performed preoperatively and seven days and 1, 3, 6, 12, and 18 months after surgery.

RESULTS

Successful macular hole closure was achieved in all patients. The mean minimum macular hole diameter before the surgery was 666.8 m, and the mean basal diameter was 1086.4 m. The mean visual acuity before lens capsular flap transplantation was 20/200, while after surgery, it was 20/125.

CONCLUSIONS

Autologous lens capsular flap transplantation is a potential alternative treatment for patients with large persistent macular holes after other operative techniques have failed.

摘要

目的

分析持续性黄斑裂孔患者自体晶状体囊膜移植后的解剖和功能结果。

方法

这是一项对5例患者的5只眼睛进行玻璃体切除术和自体晶状体囊膜瓣移植治疗的回顾性观察研究。术前以及术后7天、1个月、3个月、6个月、12个月和18个月进行了全面的眼科检查。

结果

所有患者的黄斑裂孔均成功闭合。手术前黄斑裂孔的平均最小直径为666.8微米，平均基底直径为1086.4微米。晶状体囊膜瓣移植前的平均视力为20/200，而术后为20/125。

结论

对于其他手术技术失败后的大的持续性黄斑裂孔患者，自体晶状体囊膜瓣移植是一种潜在的替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/3988f1f7306f/joph2021-8148792.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/b17a1f16846b/joph2021-8148792.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/ac9c7aa97bf7/joph2021-8148792.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/dd3e5d2568cf/joph2021-8148792.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/3769cadebba6/joph2021-8148792.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/3988f1f7306f/joph2021-8148792.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/b17a1f16846b/joph2021-8148792.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/ac9c7aa97bf7/joph2021-8148792.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/dd3e5d2568cf/joph2021-8148792.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/3769cadebba6/joph2021-8148792.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0b/7937468/3988f1f7306f/joph2021-8148792.005.jpg

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The Flip and Fix internal limiting flap technique versus the classic temporal flap for macular hole repair.翻转固定内界膜瓣技术与经典颞侧瓣治疗黄斑裂孔的比较。
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