玻璃体切除术后免气体充填治疗黄斑裂孔

Closing macular holes without gastamponade#br#

为避免黄斑裂孔术后气体充填可能产生的并发症和体位限制,近年来采用不同的方法以避免气体充填,包括仅传统玻璃体切除和内界膜剥除或联合黄斑孔塞、自体血覆盖、内界膜覆盖等。尽管这些方法纳入的患者数量尚少,黄斑裂孔大小不一,种类也不尽相同,但均获得较高的黄斑裂孔闭合率。(国际眼科纵览,2022,46:333-335)

To avoid the possible complications and postoperative prone position of gas tamponade after macular hole(MH)surgery,several recent studies have reported that gas tamponade can be avoided by different methods,including only conventional vitrectomy and internal limiting membrane(ILM)peeling or combined with macular plug,autologous blood clot covering and temporal ILM flap.Although the number of patients included in these studies was small,and the size and type of MH were different,high MH closure rate was achieved.(Int Rev Ophthalmol,2022,46:333-335)