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首页> 外文期刊>Ophthalmic surgery, lasers & imaging: the official journal of the International Society for Imaging in the Eye >Macular holes associated with diabetic tractional retinal detachments.
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Macular holes associated with diabetic tractional retinal detachments.

机译：黄斑孔与糖尿病拖引视网膜脱落。

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摘要

BACKGROUND AND OBJECTIVE: Evaluation of surgical treatment of full-thickness macular holes secondary to diabetic tractional retinal detachments was conducted. PATIENTS AND METHODS: A retrospective review of medical records, fluorescein angiograms, fundus photographs, optical coherence tomography images, and operative findings of six consecutive patients with full-thickness macular holes and diabetic tractional retinal detachments was completed. Each eye was treated with pars plana vitrectomy, tractional retinal detachment repair, membranectomy, indocyanine green-assisted internal limiting membrane peeling, and intraocular gas tamponade. RESULTS: Surgical intervention resulted in the closure of all full-thickness macular holes. Mean best-corrected visual acuity was 20/250 preoperatively and 20/100 postoperatively, with all patients having improvement after a mean follow-up of 10 months. CONCLUSION: Closure of tractional retinal detachments related to full-thickness macular holes can be achieved via parsplana vitrectomy, complete membranectomy, and intraocular gas. Vitrectomy with dissection of proliferative membranes helps to relieve the tractional forces responsible for full-thickness macular hole formation, enabling successful closure of the diabetic full-thickness macular holes and resulting in visual acuity improvement.
机译：背景和目的:评估手术治疗全层黄斑孔继发于糖尿病牵引性视网膜分遣队的。病历的回顾性研究,荧光素血管造影检查,眼底照片,光学相干断层扫描图像,和手术发现六个连续的病人全层黄斑孔和糖尿病牵引性视网膜脱落。每只眼睛与术后玻璃体切除术治疗,牵引性视网膜剥离修复,membranectomy,吲哚菁green-assisted内部限制膜剥落,眼内气体填塞。干预导致的关闭全层黄斑孔。术前和视力是20/25020/100术后,所有病人都有平均随访10个月后改善。结论:关闭牵引性视网膜分遣队的全层黄斑孔可以通过实现parsplana玻璃体切除术,完成membranectomy,眼内气体。增生性玻璃体切除术与解剖膜有助于缓解拖引部队负责全层黄斑孔形成,使成功的关闭糖尿病和全层黄斑孔导致视力改善。

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