羊膜填塞治疗复发性病理性近视眼合并黄斑裂孔性视网膜脱离1例  

Human amniotic membrane plug for recurrent retinal detachment associated with pathologic myopic macular hole

作　　者：尹明阳 王莹[1] 汤涌 韩泉洪[1] Yin Mingyang;Wang Ying;Tang Yong;Han Quanhong(Tianjin Eye Hospital,Nankai University Affiliated Eye Hospital,Clinical College of Ophthalmology of Tianjin Medical University,Tianjin Eye Institute,Tianjin Key Laboratory of Ophthalmology and Visual Science,Tianjin 300020,China)

机构地区：[1]天津市眼科医院、南开大学附属眼科医院、天津医科大学眼科临床学院、天津市眼科研究所、天津市眼科学与视觉科学重点实验室,天津300020

出　　处：《中华眼科杂志》2023年第10期846-849,共4页Chinese Journal of Ophthalmology

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-016A)。

摘　　要：患者女性,60岁。1年前因“病理性近视眼合并黄斑裂孔性视网膜脱离”行玻璃体切除+内界膜填塞+硅油填充术治疗,7个月前取出硅油,现视力再次下降10 d就诊,检查示黄斑裂孔视网膜脱离复发,给予羊膜填塞联合硅油填充治疗,术中行硅油填充后将冻干羊膜裁剪至2 mm×2 mm,填塞于黄斑裂孔视网膜下。术后6个月内患者视网膜复位良好,黄斑裂孔闭合,视功能从眼前手动提高至0.05,未见严重并发症。故该术式为治疗复发性病理性近视合并黄斑裂孔性视网膜脱离提供新的思路。A 60-year-old woman presented with a history of"pathological myopia combined with macular hole retinal detachment,"for which she underwent vitrectomy,internal limiting membrane tamponade,and silicone oil filling surgery one year ago.Seven months ago,the silicone oil was removed.She now returned to seek medical attention as her visual acuity has declined by 10 diopters.Examination revealed a recurrence of macular hole retinal detachment.The patient was treated with combined amniotic membrane tamponade and silicone oil filling.During the surgery,the frozen amniotic membrane was cut into 2 mm×2 mm and placed under the macular hole retina after silicone oil filling.Within 6 months after the surgery,her retina repositioned well,the macular hole closed,and her visual function improved from hand motion to 0.05.No severe complications were observed.Therefore,this surgical approach provides a new perspective for treating recurrent pathological myopia combined with macular hole retinal detachment.

关 键 词：近视 视网膜穿孔 视网膜脱离 羊膜 硅油类 

分 类 号：R778.11[医药卫生—眼科] R774.1[医药卫生—临床医学]