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Traumatic Macular Hole: Diagnosis Natural History and Management

机译:外伤性黄斑裂孔:诊断自然史和管理

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摘要

Traumatic macular hole occurs most often in young men and can present after various types of injuries. Traumatic macular holes result from anteroposterior and tangential vitreoretinal traction and may exhibit concurrent additional pathologies such as Berlin's edema and subretinal fluid. Optical coherence tomography can play an essential role in patient management both at presentation and during follow-up. Initial management consists of observation, but macular hole repair can be performed if spontaneous resolution does not occur. Upon macular hole closure, vision may improve, on average, by two lines or more but may be limited by associated macular pathology.
机译:外伤性黄斑裂孔最常见于年轻人,并可能在各种类型的伤害后出现。创伤性黄斑裂孔是由玻璃体视网膜前后切向牵引引起的,并可能同时出现其他病理情况,例如柏林水肿和视网膜下液。光学相干断层扫描在演示和随访过程中均可以在患者管理中发挥重要作用。初始处理包括观察,但是如果不自发解决,可以进行黄斑裂孔修复。黄斑裂孔闭合后,视力平均可提高两行或更多,但可能受相关的黄斑病变限制。

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