儿童病例中应用人羊膜移植治疗复发性视盘小凹相关黄斑病变的管理。

Management of recurrent optic disc pit-associated maculopathy with human amniotic membrane graft in a pediatric case.

机构信息

Department of Ophthalmology, National Institute of Ophthalmology, Pune, Maharashtra, India.

出版信息

Indian J Ophthalmol. 2023 Feb;71(2):674. doi: 10.4103/ijo.IJO_2000_22.

DOI:10.4103/ijo.IJO_2000_22

PMID:36727392

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10228983/

Abstract

BACKGROUND

Optic disc pit-associated maculopathy (ODP-M) is a rare presentation in children. Therefore, only a few pediatric cases successfully managed have been reported in the literature. This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT).

PURPOSE

To demonstrate a successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence.

SYNOPSIS

A 13-year-old patient who had been 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 9 months after primary surgery. Three 25-G sclerotomies were made and human amniotic membrane graft was tucked into the 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 one week. Later follow-ups showed no complications or recurrence.

HIGHLIGHTS

This video shows successful management of ODP-M with human amniotic membrane graft in a pediatric case presenting with recurrence with intraoperative optical coherence tomography (OCT), without any additional tamponade.

VIDEO LINK

https://youtu.be/rM79P7oU7GE.

摘要

背景

视盘小凹相关黄斑病变（ODP-M）在儿童中较为罕见。因此，文献中仅报道了少数成功治疗的儿科病例。本视频展示了一例儿童 ODP-M 病例，该病例在术中光学相干断层扫描（OCT）检查时发现复发，采用人羊膜移植成功治疗。

目的

展示一例儿童 ODP-M 病例复发，采用人羊膜移植成功治疗。

概要

一名 13 岁患者曾因视盘小凹相关黄斑病变（ODP-M）接受过 25-G 经睫状体平坦部玻璃体切除术，术中行双层内界膜剥除术，并在视盘旁行周边部光凝，同时行 SF 6 气体眼内填充。术后 9 个月，该患者复发。在该患者的 3 个 25-G 巩膜造口处，将人羊膜移植到 ODP 中；并用术中眼相干断层扫描确认移植片的位置。术后 48 小时内视网膜下液迅速消退，一周后最佳矫正视力提高至 0.5 logMAR。随后的随访未发现任何并发症或复发。