Efficacy of Inverted Internal Limiting Membrane Flap Technique for the Treatment of Macular Hole in High Myopia
Efficacy of Inverted Internal Limiting Membrane Flap Technique for the Treatment of Macular Hole in High Myopia
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DOI：
10.1016/j.ajo.2013.02.014
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发表时间：
2013-07-01
影响因子：
4.2
通讯作者：
Matsumoto, Miho
中科院分区：
文献类型：
--
作者：
Kuriyama, Shoji;Hayashi, Hisako;Matsumoto, Miho
目的：探讨高度近视黄斑裂孔伴或不伴视网膜脱离的玻璃体切割术(PPV)联合内界膜(ILM)瓣技术的疗效。设计：回顾性干预病例系列。方法：对高度近视黄斑裂孔伴视网膜脱离(4只眼)或不伴视网膜脱离(6只眼)的10例(10只眼)高度近视患者(眼轴>26.5 mm)行PPV联合ILM瓣手术治疗。黄斑裂孔所致视网膜脱离4只眼中，3只眼经一期手术视网膜复位。术后最佳矫正视力提高2行以上5眼(50%)，不变4眼(40%)，恶化2行以上1眼(10%)。结论：黄斑裂孔闭合率较高的黄斑裂孔倒置ILM瓣是治疗高度近视伴或不伴视网膜脱离黄斑裂孔的一种较好的辅助方法。(C)2013年，爱思唯尔公司。保留所有权利。
PURPOSE: To determine the effect of pars plana vitrectomy (PPV) with inverted internal limiting membrane (ILM) flap technique for macular hole with or without retinal detachment in highly myopic eyes.DESIGN: Retrospective, interventional case series.METHODS: Ten eyes of 10 patients with macular hole with (4 eyes) or without (6 eyes) retinal detachment in high myopia (axial length more than 26.5 mm) were treated by PPV with inverted ILM flap technique.RESULTS: Macular hole closure was observed in 8 eyes (80%) following the initial surgery (in 5 eyes without retinal detachment and in 3 eyes with retinal detachment). In 4 eyes with retinal detachment caused by macular hole, retinas of 3 eyes were reattached by the initial surgery. Postoperative best-corrected visual acuity improved by more than 2 lines in 5 eyes (50%), was unchanged in 4 eyes (40%), and worsened by more than 2 lines in 1 eye (10%).CONCLUSIONS: Inverted ILM flap technique might contribute to a high closure rate of macular hole and be a preferable adjuvant to the treatment of macular hole in high myopia with or without retinal detachment. (C) 2013 by Elsevier Inc. All rights reserved.