Vitrectomy without Internal Limiting Membrane Peeling for Macular Retinoschisis in Highly Myopic Eyes

不合併內限膜剝除之玻璃體切除術治療高度近視之黃斑部視網膜層分裂

葉淑飴(Shu-I Yeh) ； 詹維鈞(Wei-Chun Chan) ； 陳立仁(Lee-Jen Chen)

《中華民國眼科醫學會雜誌》 45卷4期 (2006/12) Pp. 390-397

https://doi.org/10.30048/ACTASOS.200612.0006

摘要

目的：使用不合併內限膜剝除之玻璃體切除術來治療三位有高度近視併後葡萄腫的病人的黃斑部視網膜層分裂及視網膜剝離的術後結果。
設計：病例報告。
方法：三位患有高度近視黃斑部視網膜層分裂及黃斑部視網膜剝離的病人，接受了不合併內限膜剝除之玻璃體切除術以及長效型注射氣體治療。主要觀測結果包括最佳矯正視力，眼底鏡和光學共軛掃描儀的術後結果。
結果：三位病患接受不合併內限膜剝除之玻璃體切除術，在至少術後6個月的後續追蹤檢查，術後的最佳視力平均改善由辨指數五十公分至零點零壹。術後的光學共軛掃描儀檢查結果，也確有明顯的黃斑部視網膜脫離的改善。
結論：使用不合併內限膜剝除之玻璃體切除術來治療高度近視黃斑部視網膜層分裂及視網膜剝離，比起之前報告的合併內限膜剝除之玻璃體切除術似乎有一樣的效果。

並列摘要

Purpose: To report the surgical outcome of vitrectomy (PPV) without internal limiting membrane (ILM) peeling in three highly myopic patients with macular retinoschisis and associated posterior staphyloma.
Design: Three interventional case reports.
Methods: Three highly myopic patients who had macular retinoschisis and retinal detachment underwent simple PPV without ILM peeling, and long-acting gas injection. Main outcome measures included best-corrected visual acuity (BCVA), biomicroscopic appearance, and optical coherent tomography (OCT) finding.
After PPV without ILM peeling, BCVA improved in all three eyes with the median BCVA improved from CF/50cm to 0.1. OCT showed complete resolution of myopic foveal detachment in all three operated eyes for follow-up periods of at least 6 months.
Conclusions: PPV and gas tamponade without ILM peeling seems to be effective for treating macular retinoschisis and foveal retinal detachment in highly myopic patients with posterior staphyloma. The visual and anatomical outcomes are comparable with previously reported studies in which ILM removal was performed.

並列關鍵字

macular retinoschisis ； high myopia ； vitrectomy ； ILM peeling