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首页> 外文期刊>Journal of Ophthalmology >Internal Limiting Membrane Peeling for Persistent Submacular Fluid after Successful Repair of Diabetic Tractional Retinal Detachment
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Internal Limiting Membrane Peeling for Persistent Submacular Fluid after Successful Repair of Diabetic Tractional Retinal Detachment

机译：糖尿病课后视网膜脱离成功修复后持续膜液的内部限制膜剥落

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摘要

This study is for reporting the outcomes of internal limiting membrane (ILM) peeling on persistent submacular fluid (PSF) after otherwise successful pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD). In this retrospective case series, five consecutive patients (5 eyes) who exhibited PSF following successful repair of diabetic TRD were included. The second operation was performed to remove ILM. The area of ILM peeling was expanded up to the major vascular arcade. Only air tamponade was used. The median interval between the first PPV and the second PPV with ILM peeling was 4.8 months (range: 4–6 months). PSF resolved completely within one (2 eyes) or 2 months after ILM peeling. The median logMAR best-corrected visual acuity (BCVA) was improved from 1.00 (Snellen equivalent 20/200) to 0.70 (Snellen equivalent 20/100). In conclusion, wide ILM peeling is an effective treatment option for PSF subsequent to successful repair of diabetic TRD. ILM peeling might increase the elasticity of retina, thereby allowing the retina to flatten. This procedure can induce faster retinal reattachment in diabetic TRD involving the macula.
机译：本研究报告在诸如成功的糖尿病术（PPV）后，在持续的膜状液（PSF）上剥离内部限制性膜（ILM）剥离的结果，用于糖尿病宣传术视网膜脱离（TRD）。在这个回顾性案例中，包括在成功修复糖尿病TRD后表现出PSF的连续五名患者（5只眼）。进行第二操作以除去ILM。 ILM剥离区域扩展到主要的血管拱廊。只使用空气局部局部局面。第一个PPV和ILM剥离的第二个PPV之间的中值间隔为4.8个月（范围：4-6个月）。 PSF在ILM剥皮后2个月内完全解决了完全在一（2只眼）或2个月内。中位数Logmar最佳校正的视力（BCVA）从1.00（Snellen等效20/200）改善到0.70（Snellen等效20/100）。总之，宽ILM剥离是在成功修复糖尿病TRD后的PSF的有效治疗选择。 ILM剥离可能会增加视网膜的弹性，从而允许视网膜变平。该程序可以在涉及黄斑的糖尿病Trd中引起更快的视网膜重新连接。

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