Christmas N J, Smiddy W E, Flynn H W
Bascom Palmer Eye Institute, University of Miami School of Medicine, FL 33101, USA.
Ophthalmology. 1998 Oct;105(10):1835-8. doi: 10.1016/S0161-6420(98)91025-9.
To evaluate the frequency and prognosis of reopening of a macular hole after initially successful repair in a defined patient cohort.
Retrospective consecutive noncomparative case series.
Seventeen cases of reopened macular holes among 390 cases of idiopathic macular holes that previously had undergone macular hole surgery were studied.
Assessment of demographics, visual acuity, preoperatively, postoperatively, after reopening of macular hole and after reoperation, if applicable, and precipitating factors.
There were 17 (4.8%) of 353 cases in which the macular hole reopened after initial successful surgical closure. The mean visual acuity before reopening was 20/48 and was 20/133 after reopening. Twelve eyes underwent reoperation with improvement to a mean visual acuity of 20/54. The five eyes that were not reoperated on maintained a mean visual acuity of 20/200. Ten of the eyes had undergone cataract surgery between macular hole surgeries, but in only one did the reopening appear to occur in association with this procedure.
Reopening of a previously successfully operated macular hole is uncommon and seems to be a spontaneous event. Reoperation generally yields results similar to those present before the reopening. Reopening of a macular hole associated with cataract surgery is rare.
评估特定患者队列中黄斑裂孔初次修复成功后再次裂开的频率及预后。
回顾性连续非对照病例系列。
对390例曾接受黄斑裂孔手术的特发性黄斑裂孔患者中的17例黄斑裂孔再次裂开病例进行研究。
评估人口统计学特征、视力，包括术前、术后、黄斑裂孔再次裂开后以及（如适用）再次手术后的视力，以及诱发因素。
353例患者中有17例（4.8%）黄斑裂孔在初次手术成功闭合后再次裂开。再次裂开前平均视力为20/48，再次裂开后为20/133。12只眼接受了再次手术，术后平均视力提高到20/54。未接受再次手术的5只眼平均视力维持在20/200。其中10只眼在黄斑裂孔手术期间接受了白内障手术，但只有1只眼的再次裂开似乎与该手术有关。
先前手术成功的黄斑裂孔再次裂开并不常见，似乎是一种自发事件。再次手术通常能取得与再次裂开前相似的效果。与白内障手术相关的黄斑裂孔再次裂开很少见。
