Vitrectomy with peripapillary internal limiting membrane peeling for macular retinoschisis associated with normal-tension glaucoma

Vitrectomy with peripapillary internal limiting membrane peeling for macular retinoschisis associated with normal-tension glaucoma
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玻璃体切除术联合视乳头周围内界膜剥离术治疗正常眼压性青光眼相关黄斑视网膜劈裂

DOI:
10.1016/j.ajoc.2020.100663
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发表时间:
2020
影响因子:
--
通讯作者:
Sonoda Koh-Hei
Sonoda Koh-Hei
中科院分区:
--
文献类型:
--
作者:
Ishikawa Keijiro;Fukui Takuma;Nakao Shintaro;Shiose Satomi;Sonoda Koh-Hei

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尽管玻璃体切割术治疗黄斑视网膜劈裂合并青光眼的病例很少,但手术技术尚未建立。本文描述了2例黄斑性视网膜劈裂患者行玻璃体切除联合视网膜神经纤维层缺损区周围内界膜剥离的病例。观察两例患者均诊断为正常眼压性青光眼,并用眼药水稳定眼压。两个病例都观察到黄斑视网膜劈裂的进展和伴随的视力丧失。术后12个月,两例患者的视网膜劈裂均有缓解,最佳矫正视力均有提高。结论和重要性我们的手术技术对于正常眼压性青光眼的黄斑部视网膜劈裂是有效的。
PurposeAlthough vitrectomy has been reported to be effective for the treatment of macular retinoschisis associated with glaucoma in a few case series, the surgical techniques have yet to be established. This article aimed to describe the cases of two patients with macular retinoschisis who underwent vitrectomy with peripapillary internal limiting membrane peeling around the defective area of the retinal nerve fiber layer.ObservationsBoth patients had been diagnosed with normal tension glaucoma and treated with eye drops to stabilize intraocular pressure. Progression of macular retinoschisis and accompanied vision loss were observed in both cases. Twelve months after the surgery, both patients had resolution of the retinoschisis and improvement in best corrected visual acuity.Conclusions and importanceOur surgical technique may be effective for the resolution of macular retinoschisis in eyes with normal tension glaucoma.
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