黄斑兜带手术治疗近视牵引性黄斑病变  

Macular buckle surgery for myopia traction maculopathy

作　　者：邓健[1] 潘丽朵 李永浩 Deng Jian;Pan Liduo;Li Yonghao(Aier Eye Hospital,Jinan University,Guangzhou 510071,China;Shenzhen EyeHospital,Shenzhen Eye Medical Center,Southern Medical University,Shenzhen Eye Institute,Shenzhen 518040,China)

机构地区：[1]暨南大学附属爱尔眼科医院,广州510071 [2]深圳市眼科医院、南方医科大学深圳眼科医学中心、深圳市眼病防治研究所,深圳518040

出　　处：《国际眼科纵览》2025年第2期119-123,共5页International Review of Ophthalmology

摘　　要：黄斑兜带手术是将植入物垫压于黄斑区对应的后极部巩膜处,其目的是缩短眼轴长度、阻止后巩膜葡萄肿的进展及解除玻璃体对黄斑的牵拉。该术式能起到医源性圆顶样黄斑的作用,具有较高的解剖成功率和较好的视觉功能恢复等优势,对后巩膜葡萄肿合并近视牵引性黄斑病变的患者尤其适合。近年来,随着兜带材料的革新、人工智能技术以及3D打印技术的发展,黄斑兜带的设计得以不断的改良,克服了早期黄斑兜带手术手术的缺点。单独进行黄斑兜带手术或与玻璃体切除术联合均展现其在解剖复位、视功能提升方面的独特优势。Macular buckle surgery involves implanting a buckle at the posterior pole of the sclera that corresponds to the macular area in order to shorten the axial length of the eye,prevent the advancement of posterior staphyloma,and relieve vitreous traction on the macula.This surgery can serve as an iatrogenic dome-shaped macula,with a high anatomical success rate and strong visual function recovery.It is especially beneficial for patients with myopic traction maculopathy complicated with a posterior staphyloma.Overcoming the shortcomings of early macular buckle surgery,the design of macular buckles has been continuously improved in recent years thanks to advancements in artificial intelligence,3D printing,and buckle materials.Macular buckle surgery has shown special benefits in improving vision function and anatomical repositioning,whether it is done alone or in combination with vitrectomy.

关 键 词：黄斑兜带术 近视牵引性黄斑病变 病理性近视 

分 类 号：R779.6[医药卫生—眼科]