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.
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.
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。
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