特发性黄斑裂孔手术后的视网膜移位
Retinal displacement after surgery for idiopathic macular hole.
作者信息
Qin He-Cong, Li Fu-Qiang, Jin Si-Yan, Zhao Jin-Song
机构信息
Department of Ophthalmology, the Second Hospital of Jilin University, Changchun 130000, Jilin Province, China.
出版信息
Int J Ophthalmol. 2024 Aug 18;17(8):1545-1556. doi: 10.18240/ijo.2024.08.21. eCollection 2024.
AIM
To review and summarize the mechanism hypothesis, influencing factors and possible consequences of macular retinal displacement after idiopathic macular hole (IMH) surgery.
METHODS
PubMed and Web of Science database was searched for studies published before April 2023 on "Retinal displacement", "Idiopathic macular holes", and "Macular displacement".
RESULTS
Recently, more academics have begun to focus on retinal displacement following idiopathic macular holes. They found that internal limiting membrane (ILM) peeling was the main cause of inducing postoperative position shift in the macular region. Moreover, several studies have revealed that the macular hole itself, as well as ILM peeling method, will have an impact on the result. In addition, this phenomenon is related to postoperative changes in macular retinal thickness, cone outer segment tips line recovery, the occurrence of dissociated optic nerve fiber layer (DONFL) and the degree of metamorphopsia.
CONCLUSION
As a subclinical phenomenon, the clinical significance of postoperative macular displacement cannot be underestimated as it may affect the recovery of anatomy and function.
目的
回顾并总结特发性黄斑裂孔（IMH）手术后黄斑视网膜移位的机制假说、影响因素及可能后果。
方法
在PubMed和Web of Science数据库中检索2023年4月之前发表的关于“视网膜移位”“特发性黄斑裂孔”和“黄斑移位”的研究。
结果
近年来，越来越多的学者开始关注特发性黄斑裂孔后的视网膜移位。他们发现内界膜（ILM）剥除是导致黄斑区术后位置改变的主要原因。此外，多项研究表明黄斑裂孔本身以及ILM剥除方法都会对结果产生影响。此外，这种现象与黄斑视网膜厚度的术后变化、锥体外段尖端线恢复、分离性视神经纤维层（DONFL）的发生以及视物变形程度有关。
结论
作为一种亚临床现象，术后黄斑移位的临床意义不可低估，因为它可能影响解剖结构和功能的恢复。
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