复发性黄斑裂孔性视网膜脱离的内境界膜剥离术

Retinal redetachment due to macular hole treated by removal of internal limiting membrane

目的 探讨高度近视眼后巩膜葡萄肿患者复发性黄斑裂孔性视网膜脱离 ,采用吲哚青绿染色的内境界膜剥离术手术结果。方法 2 0 0 0年 2月～ 2 0 0 3年 4月间 ,一次性手术后复发的伴有高度近视后巩膜葡萄肿的黄斑裂孔性视网膜脱离患者 2 6例 (2 6只眼 ) ,经玻璃体切除、吲哚青绿染色后施行裂孔周围全周内境界膜剥离术。结果 平均随访观察 6 .7个月 ,2 2只眼视网膜解剖复位 ,4只眼再次手术注入硅油复位。黄斑裂孔 19只眼术后消失 ,视力提高者 16只眼 ,不变者 7只眼 ,下降者 3只眼。

Objective To evaluate the efficacy of vitrectomy with removal of internal limiting membrane stained with indocyanine green for retinal redetachment due to macular hole in high myopia.Methods Twenty six consecutive highly myopic and posterior scleral staphyolma eyes (26 patients) with retinal redetachment due to macular hole underwent vitrectomy with removal of internal limiting membrane around the hole stained with indocyanine green between February 2000 and April 2003.Results The mean postoperative follow-up period was 6.7 months.The retina was reattached with the initial surgery in 22 eyes.Redetachment of the retina occurred in four eyes,which was successfully treated by a second procedure using silicone oil tamponade.Postoperatively,clousure of macular hole was achieved in 19 eyes.visual acuity improved in 16 eyes and unchanged in 7 eyes and decreased in 3 eyes.Conclusion The internal limiting member removal using indocyanine green staining for retinal re-detachment due to macular hole is an effective treatment.