Refined Internal Limiting Membrane Inverted Flap Technique for Intractable Macular Detachment with Optic Disc Pit.
Refined Internal Limiting Membrane Inverted Flap Technique for Intractable Macular Detachment with Optic Disc Pit.
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DOI：
10.1159/000462956
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发表时间：
2017-01
影响因子：
0.4
通讯作者：
Mori S
中科院分区：
文献类型：
--
作者：
Hara R;Tsukahara Y;Simoyama T;Mori S
目的报道一种利用内界膜（ILM）倒置瓣作为玻璃体腔与视网膜下腔之间的屏障治疗视盘小凹（ODP）相关性视网膜脱离的手术方法。一位43岁男性因与ODP相关的黄斑脱离而出现右眼视力下降1周。在2次手术失败后，通过玻璃体切除术用ILM倒置瓣将视网膜重新连接到ODP上。用倒置的ILM瓣覆盖小凹是一种可靠的方法，可以阻止液体从玻璃体腔流出。视网膜下液的立即吸收可导致早期黄斑附着。该技术将有效地管理ODP。
To report a surgical technique for retinal detachment associated with optic disc pit (ODP) by using an internal limiting membrane (ILM) inverted flap as an obstacle between the vitreous cavity and subretinal space. A 43-year-old man presented with decreased visual acuity in the right eye for 1 week due to macular detachment associated with ODP. After 2 unsuccessful surgeries, the retina was reattached by vitrectomy with an ILM inverted flap onto the ODP. Covering the pit with an inverted ILM flap is a reliable method for intercepting fluid from the vitreous cavity. Immediate absorption of subretinal fluid may lead to early macular attachment. This technique would be effective in managing ODP.