Gaudric A
Service d'ophtalmologie, Hôpital Lariboisière, Paris.
Rev Prat. 1996 Sep 15;46(14):1756-60.
Macular surgery has made great strides in the past few years, particularly to treat some age-related maculopathies. Epimacular membranes, which occur after posterior vitreous detachment, must be operated if they result in loss of visual acuity, metamorphopsia or disturbance of binocular vision. Visual improvement is obtained in more than 70% of the cases. Macular holes, which are related to a vitreous traction on the macula, can be closed surgically in 70 to 90% of the cases. Choroidal neovascularisation and submacular haemorrhages may be operated on when laser photocoagulation is impossible.
在过去几年中，黄斑手术取得了巨大进展，尤其是在治疗一些年龄相关性黄斑病变方面。黄斑前膜发生于玻璃体后脱离之后，如果导致视力丧失、视物变形或双眼视觉障碍，则必须进行手术。超过70%的病例术后视力得到改善。黄斑裂孔与黄斑部的玻璃体牵拉有关，70%至90%的病例可通过手术封闭。当无法进行激光光凝时，脉络膜新生血管和黄斑下出血可进行手术治疗。
