协和医学杂志

2013, (04)

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未愈合特发性黄斑裂孔的新型手术方式:游离内界膜移植
Free internal limiting membrane flap transplantation for unclosed idiopathic macular holes

杨治坤;邹绚;董方田

摘要(Abstract):

目的:报告游离内界膜移植用于治疗未愈合特发性黄斑裂孔的疗效观察。 材料和方法:回顾性观察3例连续随访的特发性黄斑裂孔患者,经标准的玻璃体切除术联合内界膜剥除进行治疗,术后黄斑裂孔未愈合。采用游离内界膜移植的方法对患者进行治疗,观察术后黄斑裂孔愈合情况。 结果:3例患者黄斑裂孔均能够完全愈合,手术无并发症出现。 结论:游离内界膜移植是治疗初次手术后特发性黄斑裂孔未愈合的有效方法。目前仍需要长期、大规模的研究以评价这种手术方式的安全性和有效性。
Purpose: To report a new technique of free internal limiting membrane flap transplantation for unclosed idiopathic macular holes. Methods: Three consecutive cases of idiopathic macular hole were included in the study. All the eyes had undergone vitrectomy and internal limiting membrane peeling before but the macular holes were not closed. Free internal limiting membrane flap transplantation was performed for all three cases. The technique is described in detail. Results: Macular holes were closed in all three cases and no complication was recorded. Conclusions: The described technique is helpful in treating unclosed idiopathic macular holes after initial surgery. Long term studies in larger sample are needed to evaluate the efficacy and safety of this technique.

关键词(KeyWords): |特发性黄斑裂孔| 玻璃体切除手术| 内界膜| 光学相干断层扫描|
|idiopathic macular hole| vitrectomy| internal limiting membrane| OCT|

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作者(Author): 杨治坤;邹绚;董方田

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