后极部视网膜切开术治疗高度近视眼中复发性黄斑裂孔视网膜脱离：一项初步研究。

Posterior pole retinotomy for treatment of recurrent macular hole retinal detachment in highly myopic eyes: a pilot study.

机构信息

Eye Center of Xiangya Hospital, Central South University, No. 87 Xiangya Road, KaiFu District, Changsha, 410008, Hunan, China.

Hunan Key Laboratory of Ophthalmology, No. 87 Xiangya Road, KaiFu District, Changsha, 410008, Hunan, China.

出版信息

BMC Ophthalmol. 2021 May 17;21(1):217. doi: 10.1186/s12886-021-01973-9.

DOI:10.1186/s12886-021-01973-9

PMID:34001054

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8127268/

Abstract

BACKGROUND

To investigate the feasibility and efficacy of posterior pole retinotomy to treat recurrent macular hole retinal detachment (MHRD) in highly myopic patients.

METHODS

We performed a retrospective study and reviewed the medical records in our hospital between January 1, 2016 and December 31, 2018. Highly myopic patients who received posterior pole retinotomy with silicone oil tamponade for their recurrent MHRD after pars plana vitrectomy were included in the analysis. Postoperative retinal reattachment, best-corrected visual acuity (BCVA), macular hole closure, and complications were evaluated.

RESULTS

There were 11 patients (11 eyes) included in this study. All retinas were reattached. Silicone oil was successfully removed from all eyes 1.5-3 months after the surgery. Macular holes were completely closed in three eyes and remained flat open in eight eyes. The BCVA of all eyes improved significantly at 12 months after surgery (logarithm of the minimal angle of resolution, pre vs. postoperatively, 1.87 ± 0.44 vs. 1.15 ± 0.24, P < 0.05). None of the patients had complications such as endophthalmitis, fundus hemorrhage, retinal redetachment, and proliferative vitreoretinopathy.

CONCLUSION

Posterior pole retinotomy is a safe and effective surgery to treat recurrent MHRD after pars plana vitrectomy in highly myopic patients.

摘要

背景

探讨后极部裂孔切开术治疗高度近视患者孔源性视网膜脱离（MHRD）复发的可行性和疗效。

方法

我们进行了一项回顾性研究，分析了我院 2016 年 1 月 1 日至 2018 年 12 月 31 日期间接受后极部裂孔切开术联合硅油填充治疗孔源性视网膜脱离复发的高度近视患者的病历资料。评估术后视网膜复位、最佳矫正视力（BCVA）、黄斑裂孔闭合及并发症情况。

结果

本研究共纳入 11 例（11 只眼）患者。所有视网膜均复位。术后 1.5-3 个月，所有患眼硅油均成功取出。3 只眼黄斑裂孔完全闭合，8 只眼仍为扁平开瓣。术后 12 个月所有患眼 BCVA 均显著提高（最小分辨角对数，术前 vs. 术后，1.87±0.44 vs. 1.15±0.24，P<0.05）。所有患者均未发生眼内炎、眼底出血、视网膜再脱离和增生性玻璃体视网膜病变等并发症。