Covering corneal stromal lenticule for macular hole in pathological myopia  

作　　者：Zi-Yan Tang Gang Qiao Xiao-Juan Zhang Li-Jun Xie Qiang-Xing Zou Chun-Mei He Long Zhao Hua-Qing Yang Yu Quan Kui Cao Hui Jiang Yu-Kun He 

机构地区：[1]Wanjiang Eye Hospital of Mianyang,Mianyang 621000,Sichuan Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2024年第9期1675-1680,共6页国际眼科杂志（英文版）

基　　金：Supported by Medical Research Project of Sichuan(No.S23090).

摘　　要：AIM:To evaluate the clinical effect of a new surgery technique(covering corneal stromal lenticule,CSL)for macular hole(MH)in pathological myopia.METHODS:This was a prospective non-randomized series case study.Fourteen eyes of 14 patients whose axial length were more than 29 mm and suffered from MH and macular hole retinal detachment(MHRD)were included in this study.All cases were treated with 25-gauge pars plana vitrectomy(PPV)with internal limiting membrane(ILM)peeling,covering CSL and C_(3)F_(8) gas tamponade.These cases were followed for 6mo,and the best-corrected visual acuity(BCVA),healing status of MH,the reattached rate of retinal detachment(RD),and reoperation rate were analyzed.RESULTS:All cases were successfully performed the surgery and the postoperative follow-up was completed.After surgery,MHs were healed in all 14 eyes(100%,14/14)after assessed by optical coherence tomography.The reattachment of retina was achieved in all 6 eyes(100%,6/6)with MHRD.BCVA was improved in 12 eyes(85.71%,12/14),and had no significant change in 2 eyes(14.29%,2/14).The overall mean BCVA was improved from 1.80±0.77 to 0.82±0.46 logMAR(F=10.46,P<0.01).No serious complications occurred in all cases.CONCLUSION:The new surgery technique(covering CSL)has high reattached rate of RD and high healing rate of MH in pathological myopia in the preliminary study.And it can effectively improve the visual function of patients.This new technique offers meaningful new ideas for treating refractory MH in pathological myopia.

关 键 词：corneal stromal lenticule macular hole pathological myopia 

分 类 号：R772.2[医药卫生—眼科] R774.5[医药卫生—临床医学]