The role of inner wall retinectomy in the management of juvenile retinoschisis
The role of inner wall retinectomy in the management of juvenile retinoschisis
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内壁视网膜切除术在青少年视网膜劈裂治疗中的作用
DOI：
10.1007/bf00164673
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
P. Ferrone
中科院分区：
文献类型：
--
作者：
M. Trese;P. Ferrone
摘要·目的：本文旨在介绍解除玻璃体牵拉和视网膜内壁切除术在青少年视网膜劈裂症（JRS）治疗中的应用。此外，在这项研究的过程中，以前未描述的形式牵引性视网膜脱离与视网膜裂被观察到。·方法：4名视野和/或中心视力丧失的儿童的6只眼接受了玻璃体切除术（其中5只眼保留了晶状体）、内壁视网膜切除术和光凝治疗孔源性/裂孔性视网膜脱离、牵引性视网膜脱离和继发于裂孔内出血悬于黄斑上方的中心视力降低。结果：随访1 ~ 4年。所有眼睛均显示解剖复位。4只可进行视力测试的眼睛中有3只显示术后视觉功能改善。1只眼视野明显扩大，中心视力由术前20/200提高到术后20/50。结论：视网膜内壁切除术是治疗JRS视网膜并发症的有效辅助手段。适当的病例选择合并中央牵引性视网膜脱离的眼睛可以导致视野和中心视力的改善。这项技术的成功表明，玻璃体牵引的机械和/或药物缓解可能能够改变JRS的临床过程。
Abstract• Purpose: The purpose of this paper is to describe the technique and application of relief of vitreous traction and inner wall retinectomy in the management of juvenile retinoschisis (JRS). In addition, during the course of this study a previously undescribed form of tractional retinal detachment associated with retinal schisis was observed. • Methods: Six eyes of four children with visual field and/or central vision loss underwent vitrectomy (in five of the six eyes the lenses were preserved), inner wall retinectomy and photocoagulation for rhegmatogenous/schisis retinal detachment, tractional retinal detachment and reduced central vision secondary to intraschisis hemorrhage overhanging the macula. • Results: The children were followed up for 1 to 4 years. All eyes showed anatomic reattachment. Three of the four eyes that could be tested for vision showed improved visual function postoperatively. One eye showed marked enlargement of visual field and central visual acuity improvement from 20/200 preoperatively to 20/50 postoperatively. • Conclusion: Inner wall retinectomy can be a useful adjunct in the management of the retinal complication of JRS. Appropriate case selection of eyes with associated central traction retinal detachment can result in improved visual field and central visual acuity. The success of this technique suggests that the mechanical and/or pharmacological relief of vitreous traction may be able to alter the clinical course of JRS.