手术失败后局部治疗成功封闭特发性黄斑裂孔
Successful Closure of an Idiopathic Macular Hole With Topical Therapy After Failed Surgery.
作者信息
Mazzeo Thiago José Muniz Machado, Barbosa Gabriel Castilho Sandoval, Filho Renato Silva, Freire Raimunda Cristina Mendonça, Machado Cleide Guimarães, Vieira Gomes André Marcelo
机构信息
Retina and Vitreous Department, Suel Abujamra Institute, São Paulo, Brazil.
Retina and Vitreous Department, University of São Paulo, São Paulo, Brazil.
出版信息
J Vitreoretin Dis. 2024 Jul 24;8(5):605-608. doi: 10.1177/24741264241262104. eCollection 2024 Sep-Oct.
To describe the successful closure of an idiopathic macular hole (MH) with topical therapy after surgery failed. A case report was evaluated and prospective literature review performed. After surgery to correct an MH in a 57-year-old female patient failed, topical therapy was initiated. MH closure was successful using this modality. There are few reports in the literature describing successful closure of an idiopathic full-thickness MH with topical therapy after initial surgery fails. This reinforces the importance of the "hydration" hole in this disease. Characterization with optical coherence tomography may help determine which patients could benefit from topical treatment for MH closure and avoid costly and invasive surgical procedures.
描述在手术失败后通过局部治疗成功封闭特发性黄斑裂孔（MH）的情况。评估了一例病例报告并进行了前瞻性文献综述。一名57岁女性患者的MH手术矫正失败后，开始进行局部治疗。采用这种方法成功封闭了MH。文献中很少有关于初次手术后通过局部治疗成功封闭特发性全层MH的报道。这强化了“水化”裂孔在该疾病中的重要性。光学相干断层扫描进行特征分析可能有助于确定哪些患者可从局部治疗封闭MH中获益，并避免昂贵且有创的外科手术。
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