증상이 있는 표층황반원공 환자에서 시행한 유리체절제술 4예

• 영문명: Four Cases of Pars Plana Vitrectomy for Treatment of Symptomatic Lamellar Macular Holes
• 발행기관: 대한안과학회
• 저자명: 조원빈 신현진 문준웅 김형찬,Won Bin Cho, MD, Hyun Jin Shin, MD, Jun Woong Moon, MD, Hyung Chan Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number9, 1427~1431쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.09.15

영문 초록

Purpose: To report the results of pars plana vitrectomy for the treatment of symptomatic lamellar macular holes. Case summary: Pars plana vitrectomy with epiretinal membrane (ERM) and internal limiting membrane (ILM) stripping was performed for the treatment of lamellar holes in four patients who complained of vision loss or metamorphopsia. In three out of four patients, fluid-gas exchange with 14% C3F8 was performed and patients were instructed to maintain aprone position for 7 days after surgery. Postoperatively, the improvement of visual acuity, foveal contour, and disappearance of metamorphopsia were achieved in three patients. However, full-thickness macular hole (FTMH) developed in one patient after vitrectomy. Repeated fluid-gas exchange was performed and the patient was instructed to maintain a prone position, however, the FTMH did not close. Conclusions: In patients with visual loss or metamorphopsia, vitrectomy with ERM and ILM stripping appears to be a beneficial treatment. FTMH developed after surgery in one patient, therefore further study is needed to elucidate the prognostic factors for the development of FTMH.

키워드

Lamellar Macular Hole, Pars Plana Vitrectomy