视网膜缩和内部限制膜剥离后的异常黄斑孔:一个病例报告
Shu Zhang1, Zhiyan Liu2, Chenjia Zhang1
1Department of Ophthalmology, Gansu Provincial Hospital, Lanzhou, 730030, China.
BMC ophthalmology
|April 24, 2025
概括
手术后的异常黄斑孔 (EMH) 形成是用内部限制膜 (ILM) 剥离进行玻璃切除术后的罕见并发症. 这一案例突显了视网膜缩和EMH的发展,强调了仔细的ILM剥离和染料的使用.
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
- 手术并发症 手术并发症
背景情况:
- 手术后的异常黄斑孔 (EMH) 形成是与内部限制膜 (ILM) 剥离的帕斯普拉纳玻璃切除术 (PPV) 后的一种罕见并发症.
- 这种并发症可能发生在经过膜 (ERM) 或黄斑孔 (MH) 治疗手术后.
研究的目的:
- 报告一个特殊的黄斑孔形成的案例PPV后与ILM剥离为MH修复.
- 讨论这种罕见并发症的潜在原因和影响.
主要方法:
- 一名62岁的男性患有全厚黄斑孔,接受了25度PPV,用绿色氨酸 (ICG) 和倒置的ILM板放置进行ILM剥离.
- 术后监测包括光学连贯断层扫描 (OCT) 来评估MH闭合并检测随后的视网膜变化.
主要成果:
- 最初的MH关闭在术后得到证实.
- 观察到逐渐的内视网膜失调,缩和洞穴形成.
- 在手术后的五个月,一个全厚的副面异常黄斑孔 (EMH) 发展不佳.
结论:
- 这一案例强调了ILM剥离以修复MH后视网膜缩和EMH形成的风险.
- 潜在的促成因素包括ICG诱导的毒性,穆勒细胞损伤和流体剪切应力.
- 建议优化ICG协议,并考虑更安全的替代品,如蓝G (BBG),以及长期监测.
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