使用空气填塞进行自体视网膜移植治疗原发性大型慢性黄斑裂孔
Autologous Retinal Transplantation with the Use of Air Tamponade for the Treatment of a Primary Large Chronic Macular Hole.
作者信息
Hernández-Da Mota Sergio E
机构信息
Retina Service, Clinica David, Unidad Oftalmologica, Morelia, Mexico.
出版信息
Case Rep Ophthalmol. 2021 Apr 9;12(1):124-128. doi: 10.1159/000512388. eCollection 2021 Jan-Apr.
The purpose of this case report is to describe a chandelier-assisted bimanual autologous retinal transplantation (ART) with air tamponade technique for the treatment of a large macular hole (MH). A patient with a primary chronic large MH, who underwent chandelier-assisted bimanual ART with the use of air tamponade is described. The MH diameter was 888 μm. Changes in best-corrected visual acuity (BCVA) were measured postoperatively; clinical pictures and optical coherence tomography were analyzed. Baseline preoperative BCVA was 20/400. Closure of the MH was achieved. At 7 months, post-surgery BCVA improved to 20/50. Optical coherence tomography examinations showed the integration of the autologous transplant with the adjacent macular tissue and continuity preservation of the ellipsoid layer. In conclusion, chandelier-assisted bimanual ART with air tamponade technique was effective in achieving complete MH closure and long-term visual improvement.
本病例报告的目的是描述一种使用吊灯辅助双手自体视网膜移植（ART）并结合空气填塞技术治疗大黄斑裂孔（MH）的方法。本文描述了一名原发性慢性大MH患者，其接受了使用空气填塞的吊灯辅助双手ART治疗。MH直径为888μm。术后测量最佳矫正视力（BCVA）的变化；分析临床图片和光学相干断层扫描。术前基线BCVA为20/400。MH实现了闭合。术后7个月，BCVA提高到20/50。光学相干断层扫描检查显示自体移植与相邻黄斑组织融合，椭圆体层连续性得以保留。总之，使用空气填塞技术的吊灯辅助双手ART在实现MH完全闭合和长期视力改善方面是有效的。
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