Combined Treatment With Inverted Internal Limiting Membrane Flap and Subretinal Injection of Balanced Salt Solution to Repair Chronic Macular Holes.

IF 0.5 Q4 OPHTHALMOLOGY
Akira Kanai, Jun Takeuchi, Takashi Koto, Makoto Inoue
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引用次数: 0

Abstract

Purpose: To present a surgical technique that combines an inverted internal limiting membrane (ILM) flap and subretinal injection of balanced salt solution for the closure of chronic macular holes (MH). Methods: Two cases are presented. Results: A 74-year-old man and a 63-year-old woman presented with decreased visual acuity (VA) of 20/600 and 20/200, respectively, resulting from a chronic MH. Both patients had vitrectomy, during which the ILM flap was inverted and a 38-gauge subretinal needle was used to inject balanced salt solution near the vascular arcade, creating a retinal bleb. Injection of the balanced salt solution into the MH with a backflush needle completed the detachment. The MH was then closed by a gas tamponade with improvements in VA in both patients to 20/50 and 20/40, respectively. Conclusions: The combined inverted ILM flap and subretinal injection of balanced salt solution into the MH, extending the detachment, led to the successful closure of a chronic MH.

用倒置内障膜瓣和视网膜下注射平衡盐溶液联合治疗修复慢性黄斑孔。
目的:介绍一种结合倒置内缘膜(ILM)瓣和视网膜下注射平衡盐溶液的手术技术,用于封闭慢性黄斑孔(MH)。方法:介绍两个病例。结果:一名 74 岁的男性和一名 63 岁的女性因慢性黄斑孔导致视力分别下降至 20/600 和 20/200。两名患者均接受了玻璃体切除术,术中倒转了ILM瓣,并用38号视网膜下针在血管弧附近注射了平衡盐溶液,形成了视网膜出血点。用反冲洗针将平衡盐溶液注入 MH,完成剥离。然后用气体填塞法封闭 MH,两名患者的视力均有所改善,分别达到 20/50 和 20/40。结论:倒置ILM瓣和向MH视网膜下注射平衡盐溶液相结合,延长了脱离时间,成功关闭了慢性MH。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
16.70%
发文量
0
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