临床眼科杂志2025，Vol.33Issue(2)：107-110,4.DOI:10.3969/j.issn.1006-8422.2025.02.003
孔源性视网膜脱离术后继发黄斑裂孔临床分析
Analysis of the clinical characteristics of patients with secondary macular hole after rhegmatogenous retinal detachment repair
摘要
Abstract
Objective To investigate the clinical characteristics and visual outcomes of patients with full-thickness macular hole(MH)after rhegmatogenous retinal detachment(RRD)repair.Methods A retrospective case-control study.Medical records of full-thickness macular hole after surgical treatment of rhegmatogenous retinal detachment from January 2013 to October 2023.Pre-and intraoperative recordings were screened to exclude the presence of macular holes,excluding patients with multiple prior retinal detachment surgeries and the presence of tractional myopic maculopa-thy.Results A total of 1 229 patients were treated with rhegmatogenous retinal detachment,7 cases had full-thickness macular holes with an incidence of 0.57%.7 patients were mean aged 51 years,1 case(14%)underwent sclera buckle,and 6 cases(86%)underwent vitrectomy.The median time to diagnosis of a full-thickness macular hole was 28 days(25 and 75 quartiles were days 10 and 232).The mean minimum aperture diameter was(426±156.8)microns.All 7 patients underwent pars plana vitrectomy and internal limiting membrane peeling,and all the macular holes were closed after the surgery,and 5 patients improved compared with preoperative vision.Conclusions The full-thickness macular hole after rhegmatogenousretinal detachment repair has different pathogenesis from the idiopathic macular hole.The internal limiting membrane peeling is an effective method to treat such diseases,and the visual prognosis is better.关键词
孔源性视网膜脱离/全层黄斑裂孔/内界膜剥离Key words
Rhegmatogenous retinal detachment/Macular hole/Internal limiting membrane peeling引用本文复制引用
王化峰,于强..孔源性视网膜脱离术后继发黄斑裂孔临床分析[J].临床眼科杂志,2025,33(2):107-110,4.
