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相關文獻
- Treatment of Macular Holes with Indocyanine Green-assisted Retinal Internal Limiting Membrane Peeling
- 黃斑裂孔之臨床觀察
- Surgical Removal of the Internal Limiting Membrane for the Treatment of a Macular Hole
- Vitrectomy with Internal Limiting Membrane Peeling for Highly Myopic Foveoschisis
- Vitrectomy without Internal Limiting Membrane Peeling for Macular Retinoschisis in Highly Myopic Eyes
- 頑固黃斑部裂孔的新治療
頁籤選單縮合
題 名 | Treatment of Macular Holes with Indocyanine Green-assisted Retinal Internal Limiting Membrane Peeling=以循綠素輔助之內限膜剝除來治療黃斑裂孔 |
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作 者 | 王馨凰; 吳宗典; 許淑娟; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 21:3 民94.03 |
頁 次 | 頁108-113 |
分類號 | 416.746 |
關鍵詞 | 內限膜; 循綠素; 黃斑裂孔; 玻璃本摘出術; Internal limiting membrane; Indocyanine green; ICG; Macular hole; Vitrectomy; |
語 文 | 英文(English) |
中文摘要 | 內限膜之去除被認為能有效地促進黃斑裂孔手術的成功率,而報告顯示於術中輔以循綠素染色能幫助內限膜的移除。本篇文章主要用來評估以循綠素輔助之內限膜剝除於黃斑裂孔手術的安全性及效果。本篇包含 16 個病人,17 隻眼睛因第三或第四階段的黃斑裂孔接受手術。所有的眼睛接受平坦部玻璃體切除術,若有後玻璃體皮質則予以切除,切除後,在玻璃體內打入 0.5% 的循綠素使其在玻璃體內停留約30 秒鐘,再將其吸除,之後我們將已染色之內限膜剝除,最後在玻璃體內打入 16% 的 8 氟化 3 碳(C3F8),並告知病人術後要趴一到兩星期。結果顯示循綠素可染內限膜,使內限膜容易看到且容易剝除,15 隻眼睛 (88.2%) 的黃斑裂孔都有合起來,但視力卻沒有很明顯的進步,有三隻眼睛視力於史奈侖氏視力表上進步兩行或兩行以上,十三隻眼睛維持與術前相同之視力,有一隻眼睛視力變得更惡化。總之,循綠素染後的內限膜與其他部分的視網膜對比明顯,使內限膜很容易剝除。然而我們的結果顯示玻璃體內注射循綠素可能會對視網造成傷害,使得手術雖成功但視力進步有限。 |
英文摘要 | Removal of the internal limiting membrane (ILM) has been proposed as a useful surgical approach to enhance the closure of macular holes and the adjuvant indocyanine green (ICG) staining has been reported to facilitate ILM peeling. This study attempts to determine the efficacy and safety of ICG-assisted retinal ILM peeling in macular hole surgery. Seventeen eyes of 16 patients with stage 3 or 4 macular holes were included. All eyes underwent a pars plana vitrectomy, including the peeling of the posterior cortical hyaloid when necessary. ICG dye (0.5%) was instilled into the posterior vitreous cavity and left in place for 30 seconds. The retinal ILM was peeled after ICG removal. The procedure was completed with an intraocular tamponade (16% perfluoropropane), after which the patient remained in a face-down position for 1-2 weeks. ICG staining greatly facilitated the surgeon’s ability to visualize and peel the ILM during surgery. Anatomic closure of the macular hole was achieved in 15 eyes (88.2%). However, the postoperative best-corrected visual acuity improved by two or more Snellen lines in only three eyes, remained the same in 13 eyes, and deteriorated in one eye. There was no statistically significant improvement in postoperative visual acuity. In conclusion, while ICG facilitates ILM peeling by providing a stark contrast between the stained ILM and the unstained retina, our results revealed that ICG might cause retinal damage and hinder visual acuity improvement. |
本系統中英文摘要資訊取自各篇刊載內容。