气体性玻璃体溶解术联合饮水鸟技术后玻璃体黄斑牵引的即刻松解
Immediate Release of Vitreomacular Traction After Pneumatic Vitreolysis Followed by the Drinking Bird Technique.
作者信息
Mehta Neesurg, Gupta Lalita, Jansen Michael, Rosen Richard, Lee Jessica
机构信息
Department of Ophthalmology, New York Eye and Ear Infirmary, New York, NY, USA.
Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, OH, USA.
出版信息
J Vitreoretin Dis. 2019 Nov 25;4(4):320-324. doi: 10.1177/2474126419888591. eCollection 2020 Jul-Aug.
PURPOSE
To report a case of release of vitreomacular traction (VMT) in a patient with a full thickness macular hole (FTMH) immediately following pneumatic vitreolysis (PV) combined with head bobbing movements.
METHODS
A 71-year-old female with VMT and an FTMH presented with blurred vision for 2 months to the level of 20/400. At her 1-month follow-up visit, PV was performed using CF gas and she was instructed to perform the drinking bird technique for ten minutes.
RESULTS
Optical coherence tomography performed ten minutes after PV with head bobbing showed VMT release and a smaller FTMH. Visual acuity improved to 20/150 immediately afterwards and to 20/80 two months later.
CONCLUSIONS
Using the drinking bird technique for a continuous period of time immediately following PV may encourage rapid VMT release. PV may be a feasible option for patients with VMT and FTMH who do not want surgery.
目的
报告1例全层黄斑裂孔（FTMH）患者在气体溶解术（PV）联合点头动作后立即出现玻璃体黄斑牵引（VMT）松解的病例。
方法
一名71岁患有VMT和FTMH的女性，视力模糊2个月，视力为20/400。在她1个月的随访中，使用CF气体进行了PV，并指导她进行“饮水鸟”动作十分钟。
结果
PV后点头十分钟进行的光学相干断层扫描显示VMT松解，FTMH变小。之后视力立即提高到20/150，两个月后提高到20/80。
结论
PV后立即持续一段时间使用“饮水鸟”动作可能会促进VMT快速松解。对于不想手术的VMT和FTMH患者，PV可能是一种可行的选择。
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