期刊文献+

近视性黄斑劈裂眼的玻璃体后脱离和黄斑裂孔形成

Posterior vitreous detachment and macular hole formation in myopic foveoschisis
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摘要 To report two cases of macular hole (MH) associated with myopic foveoschisis ( MF). Interventional case report. Two women presented with metamorphopsia. Preope rative optical coherence tomography (OCT) showed an MH and MF. We performed vitr ectomy, internal limiting membrane (ILM) peeling and gas tamponade. Preoperative OCT examination and intraoperative microscopic observation revealed partial pos terior vitreous detachment (PVD) at the posterior retina and vitreous strands ad hering to the edge of the MHs. The MF resolved in both patients, but the MHs remained open postopera tively. Although the contribution of tangential traction cannot be excluded, the mechanism of MH formation in eyes with MF may be anteroposterior traction via a bnormal vitreofoveal adhesion resulting from partial PVD. To report two cases of macular hole (MH) associated with myopic foveoschisis ( MF). Interventional case report. Two women presented with metamorphopsia. Preope rative optical coherence tomography (OCT) showed an MH and MF. We performed vitr ectomy, internal limiting membrane (ILM) peeling and gas tamponade. Preoperative OCT examination and intraoperative microscopic observation revealed partial pos terior vitreous detachment (PVD) at the posterior retina and vitreous strands ad hering to the edge of the MHs. The MF resolved in both patients, but the MHs remained open postopera tively. Although the contribution of tangential traction cannot be excluded, the mechanism of MH formation in eyes with MF may be anteroposterior traction via a bnormal vitreofoveal adhesion resulting from partial PVD.
出处 《世界核心医学期刊文摘(眼科学分册)》 2005年第5期32-33,共2页 Digest of the World Core Medical Journals:Ophthalmology
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