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題名 | A Rapid and Successful Treatment for Airbag-Related Traumatic Macular Hole=汽車安全氣囊致外傷性黃斑部破孔的快速且成功的治療 |
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作者 | 黃奕修; 賴旗俊; 楊克仁; 陳墩祿; Hwang, Yih-shiou; Lai, Chi-chun; Yang, Ko-jen; Chen, Tun-lu; |
期刊 | 長庚醫學 |
出版日期 | 20010800 |
卷期 | 24:8 2001.08[民90.08] |
頁次 | 頁530-535 |
分類號 | 416.745 |
語文 | eng |
關鍵詞 | 黃斑部破孔; 破璃體切除術; 增生膜剝離手術; 自體血清; 眼內液氣交換; Macular hole; Vitrectomy; Membrane peeling; Autologous serum; Gas-fluid exchange; |
英文摘要 | A 28-year-old female was diagnosed as having an airbag-related traumatic macular hole in the right eye 9 days subsequent to a traffic accident. Four weeks after the trauma, the patient's visual acuity was deteriorating to 20/600. Following vitrectomy, membrane peeling, use of autologous serum and intraocular gas tamponade, the hole healed within 12 days, more rapidly than the expected interval for the treatment of a traumatic macular hole. The visual acuities at the 3-month and 1-year follow-up examinations were 20/50, much better than the conventional surgical treatment of idiopathic macular hole and comparable to previous reports of the treatment of traumatic macular hole. Vitrectomy procedure has been proved to be effective for the treatment of traumatic macular hole. Vitrectomy combined with membrane peeling, autologous serum and intraocular gas tamponade can heal the traumatic macular hole more rapidly than the conventional treatment with vitrectomy only. (Chang Gung Med J 2001;24:530-5) |
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