|
基于现代的理论认为黄斑孔的产生是由于黄斑中心凹后玻璃体皮质切线作用力的结果,在玻璃体切除术的基础上,黄斑区视网膜表面膜和内界膜剥离技术的应用,提高了术后视网膜的解剖复位率及视功能的恢复，尽管内界膜剥离术可致轻微的神经纤维层的缺损,因而导致旁中心暗点的出现,此占术后50%的比例,但这暗点并不影响术后最佳矫正视力,且不为患者所察觉[12]。本组资料表明内界膜剥离是治疗黄斑裂孔性视网膜脱离的有效手段之一，可改善术后视力及视物变形，提高视网膜脱离复位率。对于该病还将进行深入的研究。
【参考文献】
[1]QuirozMercado H，Alfaro DV，Liggett PE，et al.Macular Surgery[M].Philadelphia:Lippincott Williams & Wilkins，2000：357-362.
[2]Bales Erazzi A，Blasi MA，Scupala A，et al.Etinal detachment due to macular hole after transpupillary thermotherapy of choroidal melanoma[J]. Retina，2001(4):384-385.
[3]Marghero RR，Schepens CL.Macular breaks，Diagnosis，etiology，and observations[J].Am J Ophthalmol，1972(2):219-232.
[4]Akiba J，Konno S，Yoshida A.Retinal detachment associated with a macular hole in severely myopia eyes[J].Am J Ophthalmol，1999 (5):654-655.
[5]Johnson RN, Gass JDM. Idiopathic macular holes: observations, stages of formation, and implications fo rsurgical interve ntion[J].Ophthalmology, 1988(7):917-9241.
[6]Ripandelli G，Coppe MA.Evaluation of primary sty cal procedures for retinal detachment with macular hole in highly myopic eyes.A randomized comparison of vitrectomy versus posterior episcleral buckling surgery[J].Ophthalmology，2001(12):2258-224.
[7]Ishida S，Yamazaki K，Shinoda K，et al.Macular hole retinal detach ment in hiy myopic eyes:Ultrastructure of surgically removed epiretinal membrane and clinicopathologic correlation[J].Retina，2000(2):17-183.
[8]Kadvnosono K，Yazama F，Itoh N，et al.Treatment of retinal detachment resulting from myopic macular with internal limiting membrane removal[J].Am J Ophthalmol，2001(2):203-27.
[9]Mitarnura Y，Takeuchi S，Tsuruoka M .Macular buckling combined with pars plana vitrectomy for complicated retinal detachmeet due to macular hole[J].Retina，2000(20):669.
[10]Oshima Y，Ikuno Y，Motokura M，et al.Complete epiretinal membrane separation in highly myopic eyes with retinal detachment resulting from a naaculnr hole[J].Am J Ophthalmol，1991(5):669-676.
[11]Seike C，Kusaka S.Reopening of macular holes in highly myopic eyes with retinal detchments[J].Retina，1997(1):2-6.
[12]Harit oglou C, Gass CA, Schaumberger M, et al. Longterm follow up after macular hole surgery with internal limiting membrane peeling[J]. Am J Ophthalmol, 1996(4)：654-657. 上一页 [1] [2] |
