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.
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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