Kelkar Aditya, Kelkar Jai Aditya, Bolisetty Mounika, Kanoriya Ashwani
Department of Ophthalmology, National Institute of Ophthalmology, Pune, India.
Case Rep Ophthalmol. 2021 Sep 6;12(3):734-739. doi: 10.1159/000518808. eCollection 2021 Sep-Dec.
A 13 years old previously operated with 25-G pars plana vitrectomy with double internal limiting membrane peel and juxtapapillary endolaser with SF 6 gas tamponade for optic disc pit-associated maculopathy (ODP-M), presented with recurrence after 9 months of successful primary surgery. Three 25-G sclerotomies were made and Human Amniotic Membrane Graft was tucked into the optic disc pit (ODP), the position of the graft was confirmed with intraoperative ocular coherence tomography. Subretinal fluid rapidly resolved within 48 h and best-corrected visual acuity improved to 0.5 LogMAR after 1 week. During the follow-up period of 12 months, no episodes of recurrence or reduction vision or adverse reactions were noted.
一名13岁患者曾因视盘小凹相关性黄斑病变(ODP-M)接受25G经睫状体平坦部玻璃体切除术、双层内界膜剥除术及视乳头旁视网膜激光光凝术,并使用SF 6气体填充,初次手术成功9个月后复发。进行了三个25G巩膜切口,将人羊膜移植片塞入视盘小凹(ODP),术中通过光学相干断层扫描确认移植片位置。视网膜下液在48小时内迅速消退,1周后最佳矫正视力提高到0.5 LogMAR。在12个月的随访期内,未发现复发、视力下降或不良反应。