[Vitreous surgery for macular hole followed membrane peeling].
[Vitreous surgery for macular hole followed membrane peeling].
复制标题
剥离膜后黄斑裂孔玻璃体手术[J].
DOI：
--
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
N. Ogino
中科院分区：
文献类型：
--
作者：
N. Tachi;Y. Hashimoto;M. Kondo;K. Atsumi;N. Ogino
我们进行玻璃体手术治疗黄斑裂孔后膜剥离。在414例患者的441只眼睛中，有5名女性，年龄在42至67岁之间，进行了膜剥离。继发性视网膜前膜合并眼结节病1眼，特发性视网膜前膜2眼，特发性玻璃体视网膜牵引综合征2眼。从膜剥离到黄斑孔形成的时间间隔为5 ~ 90个月（平均14个月）。对黄斑裂孔进行膜剥离和SF6气体填塞。五只眼中有四只眼的黄斑孔闭合。在剩余的眼中，除SF6气体填塞外，采用从黄斑孔底部去除视网膜色素上皮，应用纤维蛋白胶，但未关闭黄斑孔。随访10 ~ 24个月，平均17.6个月。几何平均视力：剥膜前0.34，剥膜后最高0.94，黄斑裂孔形成后0.19，黄斑裂孔手术后最高0.51，末次复诊时0.44。
We performed vitreous surgery for macular holes following membrane peeling. The cases were five eyes of five females aged 42 to 67 years at the time of membrane peeling, out of 441 eyes of 414 patients who underwent membrane peeling. One eye had secondary epiretinal membrane combined with ocular sarcoidosis, two eyes had idiopathic epiretinal membrane, and two eyes had idiopathic vitreoretinal traction syndrome. The presumed interval from membrane peeling to macular hole formation was 5 to 90 months (average 14 months). For treatment of the macular holes, membrane peeling and SF6 gas tamponade were performed. In four eyes of the five eyes, the macular hole was closed. In the remaining eye, removal of the retinal pigment epithelium from the base of macular hole and application of fibrin glue were used in addition to SF6 gas tamponade, but the macular hole was not closed. The follow-up term was 10-24 months (average 17.6 months). Geometrical mean visual acuity was 0.34 before membrane peeling, 0.94 at maximum after membrane peeling, 0.19 after macular hole formation, 0.51 at maximum after macular hole surgery, and 0.44 at the final visit.