Department of Medical Education, National Taiwan University Hospital, Taipei, Taiwan.
Department of Ophthalmology, National Taiwan University Hospital, Medical College, National Taiwan University, 7 Chung-Shan S. Road, Taipei, Taiwan.
BMC Ophthalmol. 2021 Sep 6;21(1):322. doi: 10.1186/s12886-021-02082-3.
Full-thickness macular hole (FTMH) is a rare complication in retinitis pigmentosa (RP) patients and may increase intraoperative challenges. Furthermore, lens capsular flap transplantation and inverted internal limiting membrane (ILM) flap were reported to close complicated FTMH successfully. Here, we present a case of bilateral advanced RP complicated by a FTMH treated with a novel lens capsular flap transplantation and inverted internal limiting membrane flap.
A 46-year-old presented to our hospital with a complaint of progressively blurred vision and metamorphopsia in both eyes. Spectral-domain optical coherence tomography revealed a FTMH with retinoschisis in the right eye and another FTMH in the left eye. ILM peeling with inverted ILM flap technique was performed on the right eye and ILM peeling with anterior lens capsular flap technique was performed on the left eye. Post-operative follow-up showed successful closure of the FTMH and improved vision in both eyes.
In our present case, flap-assisted techniques for retinitis pigmentosa with macular hole result in excellent visual and anatomic outcomes.
全层黄斑裂孔（FTMH）是一种罕见的视网膜色素变性（RP）患者的并发症，可能增加手术中的挑战。此外，已报道晶状体囊瓣移植和反转内界膜（ILM）瓣成功闭合复杂的 FTMH。在此，我们报告了一例双侧晚期 RP 合并 FTMH 的病例，采用了一种新的晶状体囊瓣移植和反转内界膜瓣技术进行治疗。
一名 46 岁男性因双眼渐进性视力模糊和视物变形就诊。频域光学相干断层扫描显示右眼 FTMH 伴视网膜劈裂，左眼另一个 FTMH。右眼行 ILM 剥除术联合反转 ILM 瓣技术，左眼行 ILM 剥除术联合前晶状体囊瓣技术。术后随访显示双眼 FTMH 闭合良好，视力改善。
在我们的病例中，黄斑裂孔合并视网膜色素变性的瓣辅助技术可获得良好的视力和解剖学结果。
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