EFFICACY OF INNER WALL RETINECTOMY FOR BULLOUS SCHISIS CAVITY HANGING OVER OR THREATENING THE MACULA IN PATIENTS WITH CONGENITAL X-LINKED RETINOSCHISIS
EFFICACY OF INNER WALL RETINECTOMY FOR BULLOUS SCHISIS CAVITY HANGING OVER OR THREATENING THE MACULA IN PATIENTS WITH CONGENITAL X-LINKED RETINOSCHISIS
复制标题
内壁视网膜切除术治疗先天性 X 连锁视网膜劈裂患者悬垂或威胁黄斑的大疱性劈裂空洞的疗效
DOI：
10.1097/iae.0000000000003633
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Kusaka S
中科院分区：
文献类型：
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作者：
Iwahashi C;Matsushita I;Kuniyoshi K;Kondo H;Kusaka S
目的：介绍先天性x连锁视网膜裂的临床特点、手术结果和手术并发症，并对黄斑上方或威胁黄斑的大疱性裂孔行玻璃体切除术。方法：回顾性分析在三甲医院行玻璃体切除术的9例（12眼）先天性x连锁视网膜裂患者，术后随访≥3年。从患者图表中收集数据，包括玻璃体切除术时的年龄、手术程序和术后并发症。结果：玻璃体切除术年龄范围为4 ~ 103个月（中位14个月）。在初次玻璃体切除术中，对8只眼进行了视网膜内壁切除术。在最初接受视网膜内壁切除术的8只眼睛中，1只（12.5%）因术后并发症需要后续视网膜手术。此外，4只眼睛没有进行初始视网膜内壁切除术，但由于术后并发症需要进行视网膜手术。5只眼中有3只（60.0%）进行了硅油填塞，7只眼中有2只（28.6%）未进行硅油填塞，因术后并发症需要进行视网膜手术。最后一次检查时，所有眼睛均保持清晰的中央视轴。结论：先天性x连锁视网膜裂患者大疱性裂孔悬垂或威胁黄斑的眼，内壁视网膜切除术似乎有利于获得清晰的视轴。
Purpose:To present the clinical characteristics, surgical outcomes, and surgical complications of patients with congenital X-linked retinoschisis who underwent vitrectomy for bullous schisis cavity hanging over or threatening the macula.Methods:Nine patients with congenital X-linked retinoschisis (12 eyes) who underwent vitrectomy at three tertiary hospitals and completed≥ 3 years of postoperative follow-up were retrospectively investigated. Data were collected from patients' charts, including age at vitrectomy, surgical procedures, and postoperative complications.Results:The age at vitrectomy ranged 4 months to 103 months (median: 14 months). Inner wall retinectomy was performed during the initial vitrectomy in eight eyes. Among the eight eyes that initially underwent inner wall retinectomy, one (12.5%) required subsequent retinal surgery for postoperative complication. Furthermore, four eyes did not undergo initial inner wall retinectomy but required subsequent retinal surgeries for postoperative complications. Three of five eyes (60.0%) treated with silicone oil tamponade and two of seven eyes (28.6%) that were not treated with silicone oil tamponade during the initial vitrectomy required subsequent retinal surgeries for postoperative complications. All eyes maintained a clear central visual axis at the last examination.Conclusion:Inner wall retinectomy seems beneficial in achieving a clear visual axis in eyes with bullous schisis cavity hanging over or threatening the macula in patients with congenital X-linked retinoschisis.