玻璃体切除术治疗经OCT确诊的1期黄斑裂孔  

Vitrectomy for stage 1 macular holes identified by optical coherence tomography

作　　者：Subramanian M. L . Truong S.N. Rogers A.H. 邢咏新(译) 

机构地区：[1]不详 [2]Subramanian, 85 East Concord Street, Boston, MA 02118, United States

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第6期37-38,共2页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：BACKGROUND AND OBJECTIVE: To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography (OCT) that failed to spontaneously resolve with observation. To determine whether current surgical techniques can prevent progression to a full-thickness macular hole and lead to improved visual acuity. PATIENTSANDMETHODS: Retrospective,comparative case series presenting patient demographics,duration of symptoms,timing of surgery,preoperative and postoperative vision,and clinical outcome based on examination and OCT. RESULTS: Five eyes of five patients with stage 1 macular holes identified on OCT required surgical repair. All eyes showed anatomic closure and lack of progression to a full-thickness hole confirmed by OCT after one procedure. Mean preoperative visual acuity was 20/102 (range,20/50 to 20/200) and mean postoperative visual acuity was 20/52 (range,20/25 to 20/200). Average improvement for all five eyes was 3 Snellen lines,with four of the five (80% ) improving 5 lines each. CONCLUSION: In symptomatic eyes with stage 1 macular holes that fail to spontaneously resolve with observation,vitrectomy with intraocular gas tamponade may prevent progression to a full-thickness hole and lead to improved visual acuity.BACKGROUND AND OBJECTIVE： To describe a series of patients with decreased vision secondary to stage 1 macular hole confirmed by optical coherence tomography （OCT） that failed to spontaneously resolve with observation. To determine whether current surgical techniques can prevent progression to a full-thickness macular hole and lead to improved visual acuity. PATIENTSANDMETHODS： Retrospective, comparative case series presenting patient demographics, duration of symptoms, timing of surgery, preoperative and postoperative vision, and clinical outcome based on examination and OCT. RESULTS： Five eyes of five patients with stage 1 macular holes identified on OCT required surgical repair. All eyes showed anatomic closure and lack of progression to a full-thickness hole confirmed by OCT after one procedure. Mean preoperative visual acuity was 20/102 （range, 20/50 to 20/200） and mean postoperative visual acuity was 20/52 （range, 20/25 to 20/200） . Average improvement for all five eyes was 3 Snellen lines, with four of the five （80%） improving 5 lines each. CONCLUSION： In symptomatic eyes with stage 1 macular holes that fail to spontaneously resolve with observation,

关 键 词：全层黄斑裂孔 玻璃体切除术 OCT Snellen视力 确诊 治疗 视力下降 术后视力 眼内气体填充 常规检查 

分 类 号：R774.5[医药卫生—眼科] R779.6[医药卫生—临床医学]