AUTOLOGOUS POSTERIOR CAPSULE FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE IN A PSEUDOPHAKIC EYE.
AUTOLOGOUS POSTERIOR CAPSULE FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE IN A PSEUDOPHAKIC EYE.
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DOI：
10.1097/icb.0000000000001128
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发表时间：
2023-03-01
影响因子：
--
通讯作者：
Ogura, Yuichiro
中科院分区：
文献类型：
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作者：
Yuguchi, Takaaki;Ogura, Shuntaro;Ogura, Yuichiro
目得：报告一例人工晶状体眼的难治性黄斑裂孔（MH），采用自体后囊瓣移植术治疗。方法：病例报告。结果：一名48岁的男子来我院就诊，右眼视力下降，因为未关闭的MH。该患者在另一家医院接受了两次手术，即第一次包括白内障手术、玻璃体切除术和内界膜剥离，使用六氟化硫（SF 6）气体填充，第二次包括无效的自体内界膜皮瓣技术，使用软头笛针按摩MH边缘，然后使用相同的气体，但MH仍然开放。在我们医院，从同一只眼睛获得后囊瓣，插入MH，并进行相同的气体填充，这是在疾病发作后约4个月（前一次第二次手术后3个月）。术后患者保持面朝下体位一周，MH关闭，保持超过12个月。术后视力从20/250提高到20/60，视网膜敏感度逐渐改善。结论：自体后囊瓣移植术治疗难治性视网膜脱离，不仅能封闭视网膜脱离，而且能改善视力。
PURPOSE: To report a case of refractory macular hole (MH) in pseudophakic eye treated with autologous posterior capsule flaps transplantation.METHODS: Case report.RESULTS: A 48-year-old man visited our hospital with visual loss in the right eye because of unclosed MH. The patient had undergone two previous surgeries in another hospital, that is, the first included a cataract surgery, vitrectomy, and internal limiting membrane peeling with sulfur hexafluoride (SF 6 ) gas tamponade, and the second included an ineffective autologous internal limiting membrane flap technique and massaging the edges of the MH with a soft-tipped flute needle followed by the same gas, but the MH remained open. In our hospital, posterior capsule flaps were acquired from the same eye, inserted into the MH, and the same gas tamponade was performed, which was about four months after the disease onset (3 months after the prior second surgery). The patient kept face-down position for a week after the surgery and the MH was closed, which remained for over 12 months. The visual acuity improved from 20/250 to 20/60, and the retinal sensitivities around the MH gradually improved.CONCLUSION: An autologous posterior capsule flaps transplantation was effective in the management of refractory MH to not only close the MH but also improve the visual outcomes.