Strmen P, Hasa J
Department of Ophthalmology, Medical Faculty of the Comenius University, Bratislava, Slovak Republic.
Int Ophthalmol. 1996;20(4):165-9. doi: 10.1007/BF00175255.
Over the period from June 1992 to January 1994, six subretinal neovascular membranes were removed in our department. In five patients the damaged membranes were caused by age-related macular degeneration and in one patient the cause was choroiditis of unclear etiology. The diameter of the membranes ranged between 3 and 20 mm. The largest membrane was removed translimbally after previous lensectomy. In all patients internal silicone oil tamponade was performed. Subretinal hemorrhage was the most common peroperative complication observed. Early postoperatively, transitory corneal edema and serofibrinous reaction were recorded in some patients. Cataract formation in connection with the silicone oil tamponade, chronic uveitis, formation of epi- and subretinal membranes, retinal pigment epithelium and choroidal atrophy were also subsequently observed. Relevant additional operations were performed with the exception of one patient with internal silicone oil tamponade and cortical cataract who refused all further procedures. After a follow-up period of 24-36 months, one eye atrophied. In one eye retinal detachment in one large subretinal membrane, in one atrophy of the pigment epithelium and in another epiretinal membranes under silicone oil were present. The visual acuity achieved is 0 in two eyes and it ranged between light perception and 0.5/60. Removal of large subretinal neovascular membranes is feasible, but the results are not justified by the surgeon's effort and the patient's psychic stress.
在1992年6月至1994年1月期间，我科共切除6例视网膜下新生血管膜。其中5例患者的病变膜由年龄相关性黄斑变性引起，1例患者的病因是病因不明的脉络膜炎。膜的直径在3至20毫米之间。最大的膜在先前晶状体切除术后经睫状体平坦部切除。所有患者均行眼内硅油填充。视网膜下出血是观察到的最常见的术中并发症。术后早期，部分患者出现短暂性角膜水肿和浆液纤维素性反应。随后还观察到与硅油填充相关的白内障形成、慢性葡萄膜炎、视网膜前和视网膜下膜形成、视网膜色素上皮和脉络膜萎缩。除1例眼内硅油填充和皮质性白内障患者拒绝所有进一步治疗外，均进行了相关的附加手术。经过24至36个月的随访，1只眼萎缩。1只眼出现1个大的视网膜下膜导致视网膜脱离，1只眼出现色素上皮萎缩，另1只眼在硅油下出现视网膜前膜。2只眼的视力为0，其余眼的视力在光感至0.5/60之间。切除大的视网膜下新生血管膜是可行的，但手术效果与术者的努力和患者的精神压力不相称。
