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本文引用的文献

1
SUCCESSFUL CLOSURE OF FULL-THICKNESS MACULAR HOLES SECONDARY TO MACULAR VITELLIFORM LESIONS.继发于黄斑卵黄样病变的全层黄斑裂孔成功闭合。
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2
Best disease associated with macular hole.与黄斑裂孔相关的贝斯特病。
Retin Cases Brief Rep. 2015 Winter;9(1):7-12. doi: 10.1097/ICB.0000000000000068.
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Disappearance of central confluent soft drusen following vitrectomy and ILM peeling.玻璃体切割术联合内界膜剥除术后中央融合性软性玻璃膜疣消失。
Eye (Lond). 2013 Jun;27(6):779-81. doi: 10.1038/eye.2013.35. Epub 2013 Apr 5.
4
Progression of an acquired vitelliform lesion to a full-thickness macular hole documented by eye-tracked spectral-domain optical coherence tomography.通过眼跟踪光谱域光学相干断层扫描记录的获得性卵黄样病变进展为全层黄斑裂孔。
Arch Ophthalmol. 2012 Sep;130(9):1221-3. doi: 10.1001/archophthalmol.2012.407.
5
Heavy silicone oil effective in macular hole surgery associated with adult vitelliform macular dystrophy.重硅油在与成人卵黄样黄斑营养不良相关的黄斑裂孔手术中有效。
Clin Exp Ophthalmol. 2012 Jan-Feb;40(1):e111-2. doi: 10.1111/j.1442-9071.2011.02585.x. Epub 2011 Jun 29.
6
Adult vitelliform macular degeneration: a clinicopathological study.成人卵黄样黄斑变性：一项临床病理研究。
Eye (Lond). 2003 Aug;17(6):717-26. doi: 10.1038/sj.eye.6700460.
7
Macular hole surgery in the presence of prominent macular drusen.存在明显黄斑玻璃膜疣时的黄斑裂孔手术
Arch Ophthalmol. 2000 Jan;118(1):131-2.
8
A clinicopathologic study of a peculiar foveomacular dystrophy.一种特殊的黄斑中心凹营养不良的临床病理研究
Trans Am Ophthalmol Soc. 1974;72:139-56.
9
Adult vitelliform macular degeneration progressing to full-thickness macular hole.成人卵黄样黄斑变性进展为全层黄斑裂孔。
Arch Ophthalmol. 1991 Mar;109(3):325. doi: 10.1001/archopht.1991.01080030027024.

成人卵黄样黄斑营养不良中的双侧黄斑裂孔

Bilateral Macular Holes in Adult Vitelliform Macular Dystrophy.

作者信息

Regan Kathleen A, Gottlieb Justin L

机构信息

Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, WI, USA.

出版信息

J Vitreoretin Dis. 2020 Feb 10;4(4):340-343. doi: 10.1177/2474126420903544. eCollection 2020 Jul-Aug.

DOI:10.1177/2474126420903544
PMID:37009181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9976106/
Abstract

PURPOSE

This report describes a case of bilateral macular holes (MHs) in adult vitelliform macular dystrophy (AVMD).

METHODS

A retrospective case report of a patient with AVMD and sequential onset of bilateral MHs is presented.

RESULTS

Bilateral MHs were observed after vitreomacular traction was identified on optical coherence tomography. Holes in both eyes were repaired with pars plana vitrectomy (PPV) with CF (perfluoropropane) gas tamponade; only the right eye underwent internal limiting membrane peeling. In the right eye, 2 PPVs were required for hole closure. In both eyes, long-term atrophy of the retina and retinal pigment epithelium was observed.

CONCLUSIONS

MHs in AVMD may be preceded by vitreomacular traction. Surgical repair with PPV and gas tamponade was successful. Retinal and retinal pigment epithelium atrophy developed postoperatively, but the patient's vision still improved.

摘要

目的

本报告描述了一例成年卵黄样黄斑营养不良（AVMD）患者双侧黄斑裂孔（MH）的病例。

方法

本文呈现了一例AVMD患者双侧MH相继发病的回顾性病例报告。

结果

光学相干断层扫描发现玻璃体黄斑牵拉后观察到双侧MH。双眼均采用玻璃体切除术（PPV）联合全氟丙烷（CF）气体填塞修复裂孔；仅右眼进行了内界膜剥除。右眼需要进行2次PPV才能封闭裂孔。双眼均观察到视网膜和视网膜色素上皮的长期萎缩。

结论

AVMD中的MH可能先于玻璃体黄斑牵拉出现。PPV联合气体填塞的手术修复是成功的。术后出现了视网膜和视网膜色素上皮萎缩，但患者视力仍有改善。