Tsuruoka M, Mitamura Y, Nakahara M, Ishida M, Tsukahara I, Kasai H, Yamamoto S, Takeuchi S
Department of Ophthalmology, Sakura Hospital, Toho University School of Medicine, Chiba-ken, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Sep;102(9):583-6.
We retrospectively studied surgical outcomes in 13 patients (13 eyes) who underwent vitrectomy for proliferative vitreoretinopathy (PVR) due to macular hole. While the success rate of the initial surgery was only 46% (6 eyes), retinal reattachment was ultimately obtained in 92% (12 eyes) with additional surgery. Reattachment rate in the initial was poor in eyes with posterior staphyloma. It was better in eyes treated with macular buckling and/or scleral encircling, and in eyes without iatrogenic retinal tears. These results indicate that appropriate treatment for the macular hole as well as extensive removal of vitreous gel and vitreoretinal traction are necessary in order to obtain the successful results in vitrectomy for PVR due to macular hole.
我们回顾性研究了13例（13只眼）因黄斑裂孔导致增殖性玻璃体视网膜病变（PVR）而接受玻璃体切除术患者的手术结果。虽然初次手术的成功率仅为46%（6只眼），但通过再次手术最终视网膜复位率达到了92%（12只眼）。存在后巩膜葡萄肿的眼中初次手术的复位率较差。在接受黄斑扣带和/或巩膜环扎治疗的眼中以及没有医源性视网膜裂孔的眼中复位情况较好。这些结果表明，为了在因黄斑裂孔导致的PVR玻璃体切除术中获得成功结果，对黄斑裂孔进行适当治疗以及广泛切除玻璃体凝胶和玻璃体视网膜牵拉是必要的。
