难治性全层黄斑裂孔的外科治疗现状

IF 0.9 Q4 OPHTHALMOLOGY

Expert Review of Ophthalmology Pub Date : 2022-01-02 DOI:10.1080/17469899.2022.2045951

T. Caporossi, M. Ripa, Lorenzo Governatori, Alessandra Scampoli, G. Gambini, Clara Rizzo, Raphael Kilian, S. Rizzo

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引用次数: 2

摘要

摘要简介尽管我们在过去十年中目睹了全层黄斑裂孔（FTMH）手术的巨大进步，但难治性FTMH仍然存在。难治性FTMHs覆盖的区域可能是由于孔的临床特征和形态，或术中和术后管理不善造成的。平面部玻璃体切除术（PPV）和内界膜（ILM）剥离的失败对玻璃体视网膜外科医生来说是一个挑战，新手术技术的不断提出表达了对黄斑裂孔最佳治疗的持续需求。我们回顾了目前难治性黄斑裂孔的治疗和手术技术，强调了最近研究的证据。专家意见手术技术不断改进，以满足对难治性黄斑裂孔最佳管理的需求。

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The current surgical management of refractory full-thickness macular holes

ABSTRACT Introduction Despite the great advancements in full-thickness macular hole (FTMH)-surgery that we have witnessed in the last decade, refractory FTMHs still occur. Areas covered Refractory FTMHs may result from the clinical characteristics and conformation of the hole, or from poor intraoperative and postoperative management. Failure of pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling represents a challenge for vitreoretinal surgeons, and the continuous proposal of new surgical techniques expresses the ongoing need for the optimal treatment of macular holes. We review the current management and surgical techniques for refractory macular holes, highlighting evidence from recent studies. Expert opinion Surgical techniques continue to improve in order to satisfy the demands for the best management of refractory macular holes.

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来源期刊

Expert Review of Ophthalmology Health Professions-Optometry

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The worldwide problem of visual impairment is set to increase, as we are seeing increased longevity in developed countries. This will produce a crisis in vision care unless concerted action is taken. The substantial value that ophthalmic interventions confer to patients with eye diseases has led to intense research efforts in this area in recent years, with corresponding improvements in treatment, ophthalmic instrumentation and surgical techniques. As a result, the future for ophthalmology holds great promise as further exciting and innovative developments unfold.