Department of Ophthalmology, University of Lausanne, Fondation Asile des Aveugles, Jules Gonin Eye Hospital, Lausanne, Switzerland; and.
Department of Surgical Sciences, University of Torino, Italy.
Retina. 2022 Aug 1;42(8):1491-1497. doi: 10.1097/IAE.0000000000003509. Epub 2022 Apr 14.
To report the clinical features and treatment outcomes of patients with macular hole coexistent with rhegmatogenous retinal detachment surgically treated with pars plana vitrectomy and inverted internal limiting membrane flap technique.
Eleven consecutive patients with rhegmatogenous retinal detachment and macular hole who underwent vitrectomy and internal limiting membrane peeling with the inverted flap technique between December 2017 and February 2021 were retrospectively evaluated. The main outcome measures were retinal reattachment rate, macular hole closure rate, and postoperative best-corrected visual acuity. A nonsystematic literature review was performed to compare the study outcomes with those previously reported.
The primary retinal reattachment rate was 90% (10/11) with one surgery and 100% with 2 surgical procedures. Macular hole closure was achieved in all patients (11/11). All patients showed an improvement in visual acuity at the final postoperative visit, and the mean postoperative best-corrected visual acuity was 0.60 ± 0.32 logarithm of the minimum angle of resolution (20/80 Snellen equivalent).
Vitrectomy with the inverted internal limiting membrane flap technique achieved not only favorable anatomical retinal reattachment rates but also an encouraging recovery of central macular anatomy and visual function in patients with macular hole coexistent with rhegmatogenous retinal detachment.
报告接受玻璃体切割术联合内界膜翻转瓣技术治疗孔源性视网膜脱离合并黄斑裂孔患者的临床特征和治疗结果。
回顾性分析 2017 年 12 月至 2021 年 2 月期间 11 例接受玻璃体切割术联合内界膜剥除术联合内界膜翻转瓣技术治疗的孔源性视网膜脱离合并黄斑裂孔患者。主要观察指标包括视网膜复位率、黄斑裂孔闭合率和术后最佳矫正视力。进行了非系统性文献复习，将研究结果与以往报道进行比较。
初次手术的主要视网膜复位率为 90%（10/11），两次手术的复位率为 100%（11/11）。所有患者均实现了黄斑裂孔闭合。所有患者在末次随访时视力均有改善，平均术后最佳矫正视力为 0.60±0.32 对数最小角分辨率（20/80 视力表等价物）。
玻璃体切割术联合内界膜翻转瓣技术不仅实现了有利的解剖学视网膜复位率，而且在孔源性视网膜脱离合并黄斑裂孔患者中恢复了中央黄斑解剖结构和视功能。
