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在PARS PLANA玻璃切除术后,延迟关闭一个全厚的黄斑洞,具有内部限制膜片
Shahanaz B Ahmed1, Sufiyan Shaikh2, Jason Ho3,4
1Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Retinal cases & brief reports
|December 13, 2023
概括
在帕斯普拉纳玻璃切除术后,第3阶段全厚黄斑孔的延迟关闭是罕见的. 在重复手术之前,观察可能适用于减少但开放的斑点孔.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
背景情况:
- 斑点孔是视力丧失的常见原因之一.
- 帕斯普拉纳玻璃切除术是一种标准的手术治疗全厚黄斑孔.
研究的目的:
- 描述一个罕见的3阶段全厚黄斑孔延迟关闭的罕见病例.
- 讨论对手术管理的影响.
主要方法:
- 回溯案例报告. 回溯案例报告.
- 审查电子病历. 审查电子病历.
- 外科干预包括管切除术,用反转的皮剥离内部限制膜,以及C3F8气体吸管.
主要成果:
- 一名65岁的男性出现了第3阶段全厚的黄斑孔 (720微米).
- 手术后,孔缩小到196微米,但在7周后仍然保持开放.
- 自发的2型闭合发生在最初的手术后20周,没有进一步的干预.
结论:
- 延迟的斑点孔闭合是一种不常见的并发症.
- 对于斑点孔显示显著尺寸缩小但不完全闭合的情况,可以考虑观察.
- 这种方法可以避免需要重复的手术干预.
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