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采用三臂硅胶囊的黄斑屈曲技术治疗高度近视引起的黄斑劈裂

Liu B, Ma W, Li Y, et al.

期刊名称:Retina

卷期:2016年第36卷第10期

摘要

目的:本研究旨在探讨一种新型黄斑屈曲技术治疗高度近视眼的黄斑劈裂的安全性和疗效。研究方法:将具有黄斑劈裂、后巩膜葡萄肿、及眼轴长度大于26.5mm,但无黄斑全层裂孔的高度近视眼纳入研究范围。这些患者进行了采用一种三臂可调式硅胶囊的黄斑屈曲手术。研究结果:有8名患者(其中5名为女性)的8只眼参加了这项研究。平均随访时间为11.6个月(范围,9-14个月)。术后8只患者眼中有7只患者眼的最佳矫正视力提高(87.5%),光学相干断层扫描成像结果显示患者眼随着时间逐渐改善黄斑的解剖学结果。患者的最终最佳矫正视力平均从基线处获得早期治疗糖尿病视网膜病变研究的21.5个字母增益(P = 0.014)。术后最常见并发症是暂时性眼压升高(62.5%)和无症状外展受限(100%),并且最严重的并发症是出血性脉络膜脱离(25%)。研究结论:采用三臂硅胶囊的黄斑屈曲手术给近视黄斑劈裂患者带来解剖学和视力上的改善。


PURPOSE:To investigate the safety and efficacy of a novel macular buckling technique on foveoschisis in highly myopic eyes.METHODS:Highly myopic eyes with foveoschisis, posterior staphyloma, and axial length greater than 26.5 mm, but without a full-thickness macular hole, were included. Macular buckling was performed in the included eyes using a three-armed adjustable silicon capsule.RESULTS:Eight eyes from eight patients (five women) were enrolled in this study. The mean follow-up period was 11.6 (range 9-14) months. After surgery, the best-corrected visual acuity was improved in 7/8 (87.5%) eyes, optical coherence tomography imaging showed gradual anatomic improvement of macula over time. The final best-corrected visual acuity gained 21.5 early treatment diabetes retinopathy study letters from baseline on average (P = 0.014). Postoperatively, the most common complications were transiently elevated intraocular pressure (62.5%) and asymptomatic abduction limitation (100%), and the most serious complication was hemorrhagic choroidal detachment (25%).CONCLUSION:Macular buckling with a three-armed adjustable silicone capsule resulted in anatomic and visual improvement in eyes with myopic foveoschisis.


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