Department of Fundus and Diseases, Qingdao Eye Hospital, Shandong First Medical University, Qingdao, China.
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University, Qingdao, China.
Indian J Ophthalmol. 2024 Nov 1;72(Suppl 5):S758-S762. doi: 10.4103/IJO.IJO_68_24. Epub 2024 Aug 14.
To evaluate the efficacy of retinal massage combined with autologous blood covering in the treatment of persistent macular holes following vitrectomy in eyes with high myopia.
Retrospective, consecutive case series in a tertiary eye center.
A total of 12 highly myopic eyes with persistent macular holes after vitrectomy and internal limiting membrane peeling received combined retinal massage, air/fluid exchange, autologous blood covering, and gas/silicone oil tamponade. Best-corrected visual acuity, axial length, and optical coherence tomographic images before and after the treatment were compared.
The mean hole diameter before this intervention was 931.58 ± 244.58 μm (range, 508-1270), and the axial length was 30.39 ± 2.13 mm (range, 27.08-34.64). During the 6-month follow-up period, hole closure was achieved in eight eyes (66.67%). The mean best-corrected visual acuity improved significantly from 1.40 ± 0.50 logarithm of the minimum angle of resolution (logMAR) at baseline to 1.10 ± 0.30 logMAR ( P < 0.05). No complications were observed.
Combined retinal massage and autologous blood covering, which is easy to manipulate, can promote the closure of persistent macular holes after vitrectomy and improve vision in high myopia with an axial length less than 29 mm.
评估视网膜按摩联合自体血覆盖治疗高度近视患者玻璃体切除术后持续性黄斑裂孔的疗效。
在一家三级眼科中心进行的回顾性连续病例系列研究。
共 12 只高度近视眼行玻璃体切除联合内界膜剥除术后出现持续性黄斑裂孔，行视网膜按摩、气液交换、自体血覆盖及气体/硅油填充。比较治疗前后最佳矫正视力、眼轴长度和光学相干断层扫描图像。
干预前平均裂孔直径为 931.58 ± 244.58 μm（范围 508-1270），眼轴长度为 30.39 ± 2.13 mm（范围 27.08-34.64）。在 6 个月的随访期间，8 只眼（66.67%）裂孔闭合。平均最佳矫正视力从基线时的 1.40 ± 0.50 最小分辨角对数(logMAR)显著提高至 1.10 ± 0.30 logMAR（P<0.05）。未观察到并发症。
视网膜按摩联合自体血覆盖操作简单，可促进玻璃体切除术后持续性黄斑裂孔的闭合，并提高眼轴长度小于 29mm 的高度近视患者的视力。
