内界膜瓣在难治性黄斑裂孔手术中的应用进展  

Research progress on internal limiting membrane flap in refractory macular hole surgery

作　　者：杨娟[1] 杜磊[1] 邢怡桥[1] Juan Yang;Lei Du;Yi-Qiao Xing(Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060,Hubei Province, China)

机构地区：[1]武汉大学人民医院眼科中心,中国湖北省武汉市430060

出　　处：《国际眼科杂志》2022年第4期601-604,共4页International Eye Science

摘　　要：难治性黄斑裂孔主要包括大直径、高度近视性、持续性、复发性、外伤性黄斑裂孔。相较于普通裂孔,难治性黄斑裂孔经常规玻璃体切割联合内界膜(internal limiting membrane,ILM)剥除术术后裂孔闭合率大大降低且视功能恢复欠佳。为此,ILM瓣技术开始应用于治疗难治性黄斑裂孔中,并且随着国内外学者不断改进,衍生出了在大小、形态、数量和方式上各异的多种ILM瓣技术,整体提高了裂孔闭合率和改善了术后视功能。然而,ILM瓣技术都各有其优缺点和应用限制,到目前为止,尚未出现公认的有效治疗难治性黄斑裂孔的术式。本文就国内外文献中出现的ILM瓣技术的手术方法和治疗效果予以综述,旨在为难治性黄斑裂孔临床术式的选择提供具体参考,并为未来新术式的改良提供借鉴。Refractory macular hole(MH)mainly includes large MH,high myopia MH,persistent MH,recurrent MH,and traumatic MH.Compared with ordinary MH,the closure rate in patients with refractory MH through conventional vitrectomy combined with internal limiting membrane(ILM)peeling is greatly reduced.Currently,the ILM flap technique has gradually been applied for the treatment of refractory MH and achieved higher MH closure rate and better visual function recovery.The ILM flap technique has many variations,including the difference of size,shape,number,and method in which the flaps put on the MH,but each has its own advantages,disadvantages and application limitations.So far,there is no recognized standard procedure for the treatment of refractory MH.This paper reviewed the surgical methods and therapeutic effects of ILM flap technique appeared in domestic and foreign literature,which is aimed to provide a reference for the selection of clinical procedures for refractory MH by new ILM flap technique needs to be explored in the future.

关 键 词：内界膜瓣 难治性黄斑裂孔 裂孔闭合率 

分 类 号：R73[医药卫生—肿瘤]