玻璃体切割-激光-气体治疗伴有浆液性黄斑脱离的视盘小凹
[Vitrectomy-laser-gas for treating optic disk pits complicated by serous macular detachment].
作者信息
Taiel-Sartral M, Mimoun G, Glacet-Bernard A, Delayre T, Coscas G
机构信息
Clinique Ophtalmologique Universitaire de Créteil, Centre Hospitalier Intercommunal.
出版信息
J Fr Ophtalmol. 1996;19(10):603-9.
PURPOSE
Optic nerve pit is a rare congenital anomaly. In two third of the patients, the severity of the disease is increased by the apparition of a serous macular detachment, which may compromise the visual prognosis. The aim of this study is to propose a therapy appropriate to such complication.
METHODS
A prospective study was performed including 10 patients with a serous macular detachment caused by optic nerve pit. All patients underwent intraocular surgery including vitrectomy, peripapillary photocoagulation and intravitreal injection of gas. The mean postoperative follow-up period was 9.5 months.
RESULTS
Therapy success was based on anatomical and functional results. Serous macular detachment reattached in 7 patients out of 10 and a recurrence was observed in one case. Visual acuity improved from 0 to 18 lines of the EDTRS chart (mean increase: 6.7 lines).
CONCLUSION
These results confirm that intraocular surgery including vitrectomy-photocoagulation-gas injection is a valuable treatment for serous macular detachment associated with optic nerve pit.
目的
视神经凹陷是一种罕见的先天性异常。在三分之二的患者中，浆液性黄斑脱离的出现会加重病情，这可能会影响视力预后。本研究的目的是提出一种适用于此类并发症的治疗方法。
方法
进行了一项前瞻性研究，纳入了10例由视神经凹陷引起浆液性黄斑脱离的患者。所有患者均接受了包括玻璃体切除术、视乳头周围光凝和玻璃体腔内气体注射在内的眼内手术。术后平均随访期为9.5个月。
结果
治疗成功基于解剖学和功能学结果。10例患者中有7例浆液性黄斑脱离复位，1例出现复发。视力从EDTRS视力表的0行提高到18行（平均提高：6.7行）。
结论
这些结果证实，包括玻璃体切除-光凝-气体注射在内的眼内手术是治疗与视神经凹陷相关的浆液性黄斑脱离的有效方法。
Zotero 插件