Vitrectomy with Internal Limiting Menbrane Peeling for Highly Myopic Foveoschisis

以玻璃體切除併內限膜剝除治療近視性黃斑部分離－個案報告

江立峰(Li-Feng Chiang) ； 蔡景耀(Ching-Yao Tsai) ； 翁林仲(Lin-Chung Woung) ； 張延瑞(Yen-Jui Chang)

《中華民國眼科醫學會雜誌》 50卷2期 (2011/06) Pp. 366-370

https://doi.org/10.30048/ACTASOS.201106.0023

摘要

目的：報告一名45歲女性患有高度近視性黃斑部分離合併有相對較佳之視力經玻璃體切除並內限膜剝除治療之個案報告。方法：病例報告。結果：一名45歲女性右眼患有嚴重的近視性黃斑部分離。眼科檢查發現右眼最佳矯正視力為20／50。因此為病患施行玻璃體切除術併內限膜剝除以及氣體填充治療，術後兩天視網膜分離的距離有明顯縮小。2個月後，最佳矯正視力進步到20／30，而視網膜幾乎已經回貼。8個月後，視網膜下積水吸收，視網膜完全回貼。結論：患有部分離的病人術前的視力有可能是良好的。而以玻璃體切除併內限膜剝除來治療高度近視性黃斑部分離可以得到良好的成效。

並列摘要

Purpose: To report the case of a high myopic patient with foveoschisis and relatively good vision managed by internal limiting membrane (ILM) peeling and perfluorocarbon tamponade.Methods: A case report.Results: A 45-year-old woman was a victim of extensive myopic foveoschisis in her right eye. Her best-corrected visual acuity (BCVA) was 20/50. Pars plana vitrectomy (PPV) with ILM peeling followed by perfluoropropane tamponade had been performed, and intra-retinal space decreased significantly 2 days after operation. Two months later, the BCVA improved to 20/30, and the intra-retinal space was almost closed with a small amount of subretinal fluid accumulation. At eight months, the retina was completely reattached.Conclusions: The preoperative vision of patients with foveoschisis may be relatively good. PPV with ILM peeling resulted in favorable visual and anatomical outcomes with treatment of foveoschisis in highly myopic eyes.

並列關鍵字

high myopia ； myopic foveoschisis ； intra-retinal space ； internal limiting membrane peeling