MACULAR HOLE FORMATION IDENTIFIED WITH INTRAOPERATIVE OCT DURING VITRECTOMY FOR VITREOMACULAR TRACTION SYNDROME

MACULAR HOLE FORMATION IDENTIFIED WITH INTRAOPERATIVE OCT DURING VITRECTOMY FOR VITREOMACULAR TRACTION SYNDROME
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玻璃体黄斑牵拉综合征玻璃体切除术中术中 OCT 识别黄斑裂孔形成

DOI:
10.1097/icb.0000000000000377
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发表时间:
2017
影响因子:
--
通讯作者:
Iida Tomohiro
Iida Tomohiro
中科院分区:
--
文献类型:
--
作者:
Sawaguchi Shota;Maruko Ichiro;Mikami Yuriko;Hasegawa Taiji;Koizumi Hideki;Iida Tomohiro

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目的:报道玻璃体黄斑牵引综合征(vitreomacular tractionsyndrome,vitreomacular traction syndrome当使用玻璃体切割器在中心凹进行玻璃体后脱离时,术中OCT在水平和垂直扫描上同时识别被认为是内界膜破裂的高反射组织和全层黄斑裂孔。结果:在内界膜剥离和25%SF6气体填充用于关闭黄斑裂孔后,手术完成。结论:术中实时OCT检查可以在玻璃体切割术治疗玻璃体黄斑牵引综合征的过程中观察到黄斑裂孔的发展,从而改变手术入路。
Purpose:To report the identification of macular hole formation using intraoperative optical coherence tomography (OCT) during vitrectomy for vitreomacular traction syndrome.Methods:A 58-year-old woman with vitreomacular traction syndrome underwent the vitrectomy using the 25-gauge system with scanning the macular area using the integrated and intraoperative OCT (Rescan 700, Zeiss). When posterior vitreous detachment at the fovea was performed using a vitreous cutter, the hyperreflective tissue thought to be the rupture of the internal limiting membrane and the full-thickness macular hole were identified on the horizontal and vertical scans simultaneously in intraoperative OCT.Results:The procedure was completed after internal limiting membrane peeling and 25% SF6 gas tamponade for closure of macular hole. The closure was confirmed using Swept-Source OCT 1-month after surgery.Conclusion:It is possible to change the surgical approach using the real-time intraoperative OCT because the development of macular hole can be visualized during vitrectomy for vitreomacular traction syndrome.
DOI: 10.3928/23258160-20151027-03
发表时间: 2015-11-01
影响因子: 1
作者:
Pfau, Maximilian;Michels, Stephan;Becker, Matthias D.
通讯作者: Becker, Matthias D.
玻璃体切除术电子病历数据库研究及玻璃体黄斑牵引观察
DOI: 10.1097/iae.0000000000001012
发表时间: 2016
期刊: Retina
影响因子: --
作者:
Timothy L. Jackson;P. Donachie;R. Johnston
通讯作者: R. Johnston