玻璃体切割术治疗近视性中心凹裂相关的黄斑裂孔  

Vitrectomy for macular holes associated with myopic foveoschisis

作　　者：Ikuno Y. Tano Y. 廖新华(译) 

机构地区：[1]Department of Ophthalmology, E7, Osaka University Medical School, 2- 2Yamadaoka, Suita 565-0871, Japan [2]不详

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第9期20-21,共2页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：PURPOSE:We reviewed the surgical results of vitrectomy for macular holes(MHs)associated with myopic foveoschisis(MF).DESIGN:Noncomparative,interventional case series.METHODS:setting:Institutional.participants:Eight eyes of eight patients with MHs associated with MF.intervention procedure:All patients underwent vitrectomy,internal limiting membrane peeling,and gas tamponade.main outcome measures:Slit-lamp-based biomicroscopy,optical coherence tomography examinations,and best-corr-ected visual acuity(BCVA)measurement.RESULTS:The MHs closed in two eyes(25%),and the BCVA improved more than 2 lines in three(37.5%)eyes,remained unchanged in three(37.5%),and worsened in two(25%).The MH size increased significantly in a case with an unresolved MH(P <.05).The postoperative BCVA was significantly correlated with the preoperative BCVA(P <.05).CONCLUSIONS:Although significant visual improvement occurs in less than 50% of cases,vitrectomy can be beneficial for some cases.PURPOSE： We reviewed the surgical results of vitrectomy for macular holes （MHs） associated with myopic foveoschisis （MF） . DESIGN： Noncomparative, interventional case series. METHODS： setting; Institutional. participants： Eight eyes of eight patients with MHs associated with MF. intervention procedure： All patients underwent vitrectomy, internal limiting membrane peeling, and gas tamponade. main outcome measures： Slit-lamp-based biomicroscopy, optical coherence tomography examinations, and best-corrected visual acuity （BCVA） measurement. RESULTS： The MHs closed in two eyes （25%）, and the BCVA improved more than 2 lines in three （37.5%） eyes, remained unchanged in three （37.5%）, and worsened in two （25%）. The MH size increased significantly in a case with an unresolved MH （P 〈0 . 05）. The postoperative BCVA was significantly correlated with the preoperative BCVA （P〈0 .05）. CONCLUSIONS： Although significant visual improvement occurs in less than 50% of cases, vitrectomv can be beneficial for some cases.

关 键 词：玻璃体切割术 黄斑裂孔 治疗效果 中心凹 近视 裂隙灯显微镜检查 光学相干断层扫描 内界膜剥除术 

分 类 号：R779.6[医药卫生—眼科]