INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE FOR MACULAR HOLES IN HIGH MYOPIA WITH AXIAL LENGTH 30 mm
INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE FOR MACULAR HOLES IN HIGH MYOPIA WITH AXIAL LENGTH 30 mm
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DOI：
10.1097/iae.0000000000001010
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发表时间：
2016-09-01
影响因子：
3.3
通讯作者：
Mateo, Carlos
中科院分区：
文献类型：
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作者：
Olenik, Andrea;Rios, Jose;Mateo, Carlos
目的：评价倒置内界膜瓣技术治疗高度近视眼黄斑裂孔的闭合率。方法：回顾性研究连续33例（33眼）患有近视黄斑裂孔（眼轴长度30 mm）且无黄斑视网膜劈裂的患者，接受23号平坦部玻璃体切除术联合倒置内界膜瓣技术治疗。结果：最小角度的平均初始对数最佳矫正视力分辨率为 0.59（范围，0.22-1.8）（Snellen 分数，20/80）。在术后 1 个月的对照访视中，所有患者的黄斑裂孔均已闭合。 2 名患者出现了孔的重新张开。 13 名患者 (39.4%) 的视力得到改善：最终平均 ETDRS（糖尿病视网膜病变早期治疗研究）改善为 +80 个字母，最小分辨率角的对数为 0.4 (20/50)。所有患者均存在葡萄肿并累及黄斑。 25 名患者（75.7%）观察到视神经纤维层分离，2 名患者（6.1%）视神经纤维层不存在；其余 6 名患者无法评估该层。 14例（42.4%）出现神经胶质增生。结论：玻璃体切除术联合倒置内界膜瓣技术治疗眼轴30mm黄斑裂孔效果好，且不伴有视网膜劈裂。
Purpose:To evaluate the closure rate of macular holes in highly myopic eyes treated with the inverted internal limiting membrane flap technique.Methods:Retrospective study in 33 consecutive patients (33 eyes) with a myopic macular hole (axial length 30 mm) and no associated macular retinoschisis, undergoing 23-gauge pars plana vitrectomy combined with the inverted internal limiting membrane flap technique.Results:Mean initial logarithm of the minimum angle of resolution best-corrected visual acuity was 0.59 (range, 0.22-1.8) (Snellen fraction, 20/80). At the 1-month postoperative control visit, the macular hole was closed in all patients. Reopening of the hole occurred in 2 patients. Visual acuity improved in 13 patients (39.4%): final mean ETDRS (Early Treatment Diabetic Retinopathy Study) improvement was +80 letters, and logarithm of the minimum angle of resolution was 0.4 (20/50). Staphyloma with macular involvement was present in all patients. Dissociated optic nerve fiber layer was observed in 25 patients (75.7%) and was absent in 2 (6.1%); in the remaining 6 patients, the layer could not be assessed. Gliosis was found in 14 patients (42.4%).Conclusion:Vitrectomy plus the inverted internal limiting membrane flap technique was effective for treating macular holes in eyes with axial length 30 mm and no associated retinoschisis.