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黄斑扣带去除术对近视性黄斑裂孔相关视网膜脱离的功能和解剖结果的影响。

Impact of macular buckle removal on the functional and anatomical outcomes of myopic macular hole associated retinal detachment.

机构信息

Anant Bajaj Retina Institute, Kode Venkatadri Chowdary Campus, LV Prasad Eye Institute, Vijayawada, Andhra Pradesh, India.

Anant Bajaj Retina Institute, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, Telangana, India.

出版信息

BMJ Case Rep. 2023 Oct 16;16(10):e254978. doi: 10.1136/bcr-2023-254978.

DOI:10.1136/bcr-2023-254978
PMID:37844975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10583029/
Abstract

A man in his 70s presented with a 1-month history of vision loss in the right eye. His best-corrected visual acuity (BCVA) in the affected eye was limited to counting fingers at close range. The examination revealed a macular hole with associated retinal detachment in the right eye and features of pathological myopia in both eyes. A macular buckling surgery was performed and resulted in a successful anatomical and functional outcome. Postoperatively, at week 10, the patient developed diplopia and buckle exposure. Therefore, the buckle was removed. However, the patient maintained a BCVA of 20/250 with an attached retina and closed macular hole after 6 months of follow-up.

摘要

一位 70 多岁的男性患者出现右眼视力丧失 1 个月。他右眼最佳矫正视力(BCVA)仅能在近距离数手指。检查发现右眼黄斑裂孔伴视网膜脱离,并伴有双眼病理性近视的特征。行黄斑环扎手术,术后解剖和功能结果成功。术后 10 周,患者出现复视和环扎暴露,因此取出环扎。然而,在 6 个月的随访后,患者的视网膜仍保持在位,黄斑裂孔闭合,BCVA 为 20/250。

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本文引用的文献

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Outcomes of macular buckling with a T-shaped buckle for myopic tractional maculopathies associated with posterior staphyloma: An Indian experience.T 型兜带治疗伴有后葡萄肿的近视牵引性黄斑病变的黄斑兜带术疗效:一项印度经验。
Indian J Ophthalmol. 2022 Jan;70(1):171-179. doi: 10.4103/ijo.IJO_3720_20.
2
Myopic Traction Maculopathy: A New Perspective on Classification and Management.近视性牵引性黄斑病变:分类与管理的新视角
Asia Pac J Ophthalmol (Phila). 2021 Jan 20;10(1):49-59. doi: 10.1097/APO.0000000000000347.
3
Macular buckling versus vitrectomy on macular hole associated macular detachment in eyes with high myopia: a randomised trial.高度近视黄斑裂孔性视网膜脱离行黄斑环扎术与玻璃体切除术的随机对照研究。
Br J Ophthalmol. 2022 Apr;106(4):582-586. doi: 10.1136/bjophthalmol-2020-317800. Epub 2021 Jan 4.
4
The new Myopic Traction Maculopathy Staging System.新的近视牵引性黄斑病变分期系统。
Eur J Ophthalmol. 2021 May;31(3):1299-1312. doi: 10.1177/1120672120930590. Epub 2020 Jun 8.
5
Three-year outcomes of macular buckling for macular holes and foveoschisis in highly myopic eyes.高度近视性黄斑裂孔和黄斑劈裂行黄斑兜带术的 3 年疗效观察。
Acta Ophthalmol. 2020 Jun;98(4):e470-e478. doi: 10.1111/aos.14305. Epub 2019 Nov 19.
6
Macular Hole in Myopic Eyes: A Narrative Review of the Current Surgical Techniques.近视眼中的黄斑裂孔:当前手术技术的叙述性综述
J Ophthalmol. 2019 Mar 11;2019:3230695. doi: 10.1155/2019/3230695. eCollection 2019.
7
Current concepts of macular buckle in myopic traction maculopathy.近视牵引性黄斑病变中黄斑扣带的现代概念。
Indian J Ophthalmol. 2018 Dec;66(12):1772-1784. doi: 10.4103/ijo.IJO_1126_18.
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