Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade.
Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade.
复制标题
皮质玻璃体剥离和气体填塞治疗黄斑裂孔的临床病理相关性。
DOI：
10.1016/s0161-6420(94)31278-4
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发表时间：
1994
期刊：
影响因子：
13.7
通讯作者：
W. Green
中科院分区：
文献类型：
--
作者：
S. A. Madreperla;Greer L. Geiger;M. Funata;Z. C. de la Cruz;W. Green
目的：研究经玻璃体切除术联合玻璃体皮质及上皮层玻璃体膜剥除及气体填充治疗后的III期黄斑裂孔的组织病理学特征。方法：对治疗后的黄斑裂孔进行光镜及电镜观察。结果：黄斑裂孔的外界膜有一宽约16 μ m的裂隙。这是由米勒细胞过程密封。邻近愈合缺损的光感受器表现正常。结论：玻璃体皮质剥除及气体填充可使黄斑裂孔复位，边缘重新接近。Müller细胞可封闭残余缺损。
Purpose:To study the histopathology of a stage III macular hole that had been treated by vitrectomy with cortical vitreous and epicortical vitreous membrane peeling and gas tamponade.Methods:The light and electron microscopic features of a treated macular hole were studied.Results:A 16-μm-wide break was present in the external limiting membrane. This was sealed by Müller cell processes. Photoreceptors adjacent to the healed defect appeared normal. No cystoid macular edema was present.Conclusion:Cortical vitreous peeling and gas tamponade can allow the macular hole to settle and the edges to re-approximate. The residual defect can be sealed by Müller cells.