Chou Hung-Da, Teh Wee Min, Wu Wei-Chi, Hwang Yih-Shiou, Chen Kuan-Jen, Lai Chi-Chun
Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Retina. 2023 Dec 1;43(12):2134-2138. doi: 10.1097/IAE.0000000000003516.
To report the outcomes of the Peeling and Internal Limiting Membrane Reposition (PAIR) technique in myopic foveoschisis.
A retrospective case series of eyes with myopic foveoschisis that underwent vitrectomy and PAIR. Visual acuity, fundus photographs, and optical coherence tomography measurements were obtained and analyzed. Data are presented as medians (ranges).
A total of seven eyes underwent PAIR and were followed up for 339 days (188-436 days). No intraoperative complications were noted. One eye exhibited postoperative macular hole formation, but the hole was healed through fluid-gas exchange. At the last follow-up, the visual acuity had improved from 20/66 (20/332-20/40) to 20/40 (20/100-20/25), and the central foveal thickness had decreased from 576 µ m to 269 µ m. A repositioned internal limiting membrane (ILM) was observed in six of the eyes, and inner retinal dimples were noted in only two eyes. However, retinal wrinkles under the repositioned or perifoveal ILM were noted in five eyes.
The PAIR technique relieved traction, restored the ILM, and achieved functional and morphological improvement in eyes with myopic foveoschisis. Limited occurrence of inner retinal dimples and retinal thinning was noted, but retinal wrinkles occurred, likely due to ILM contracture.
报告近视性黄斑劈裂的内界膜剥除复位术（PAIR）的治疗效果。
对接受玻璃体切除术及PAIR的近视性黄斑劈裂患眼进行回顾性病例系列研究。获取并分析视力、眼底照片及光学相干断层扫描测量结果。数据以中位数（范围）表示。
共有7只眼接受了PAIR手术，并随访339天（188 - 436天）。术中未发现并发症。1只眼术后出现黄斑裂孔，但通过液气交换裂孔愈合。末次随访时，视力从20/66（20/332 - 20/40）提高到20/40（20/100 - 20/25），中央黄斑厚度从576 µm降至269 µm。6只眼中观察到内界膜（ILM）复位，仅2只眼中发现视网膜内凹。然而，5只眼中在复位的或黄斑周围的ILM下发现视网膜皱褶。
PAIR技术缓解了牵拉，恢复了ILM，并使近视性黄斑劈裂患眼在功能和形态上得到改善。视网膜内凹和视网膜变薄的发生率较低，但出现了视网膜皱褶，可能是由于ILM挛缩所致。
