PDF(Pubmed)
Abstract：
UNASSIGNED: This report describes a case of bilateral macular holes (MHs) in adult vitelliform macular dystrophy (AVMD).
UNASSIGNED: A retrospective case report of a patient with AVMD and sequential onset of bilateral MHs is presented.
UNASSIGNED: Bilateral MHs were observed after vitreomacular traction was identified on optical coherence tomography. Holes in both eyes were repaired with pars plana vitrectomy (PPV) with C3F8 (perfluoropropane) gas tamponade; only the right eye underwent internal limiting membrane peeling. In the right eye, 2 PPVs were required for hole closure. In both eyes, long-term atrophy of the retina and retinal pigment epithelium was observed.
UNASSIGNED: MHs in AVMD may be preceded by vitreomacular traction. Surgical repair with PPV and gas tamponade was successful. Retinal and retinal pigment epithelium atrophy developed postoperatively, but the patient\'s vision still improved.
UNASSIGNED: A retrospective case report of a patient with AVMD and sequential onset of bilateral MHs is presented.
UNASSIGNED: Bilateral MHs were observed after vitreomacular traction was identified on optical coherence tomography. Holes in both eyes were repaired with pars plana vitrectomy (PPV) with C3F8 (perfluoropropane) gas tamponade; only the right eye underwent internal limiting membrane peeling. In the right eye, 2 PPVs were required for hole closure. In both eyes, long-term atrophy of the retina and retinal pigment epithelium was observed.
UNASSIGNED: MHs in AVMD may be preceded by vitreomacular traction. Surgical repair with PPV and gas tamponade was successful. Retinal and retinal pigment epithelium atrophy developed postoperatively, but the patient\'s vision still improved.
摘要：
■本报告描述了成人卵黄样黄斑营养不良（AVMD）的双侧黄斑裂孔（MHs）。
■提供了一例AVMD患者的回顾性病例报告，该病例报告为双侧MHs的序贯发作。
■在光学相干断层扫描上确定玻璃体牵引后观察到双侧MHs。用C3F8（全氟丙烷）气体填塞法进行平坦部玻璃体切除术（PPV）修复双眼的孔；只有右眼进行了内界膜剥离。在右眼，孔闭合需要2个PPV。在两只眼睛里,观察到视网膜和视网膜色素上皮的长期萎缩。
■AVMD中的MHs可以先于玻璃体牵引。PPV和气体填塞的手术修复是成功的。术后视网膜和视网膜色素上皮萎缩，但患者的视力仍在改善。
■提供了一例AVMD患者的回顾性病例报告，该病例报告为双侧MHs的序贯发作。
■在光学相干断层扫描上确定玻璃体牵引后观察到双侧MHs。用C3F8（全氟丙烷）气体填塞法进行平坦部玻璃体切除术（PPV）修复双眼的孔；只有右眼进行了内界膜剥离。在右眼，孔闭合需要2个PPV。在两只眼睛里,观察到视网膜和视网膜色素上皮的长期萎缩。
■AVMD中的MHs可以先于玻璃体牵引。PPV和气体填塞的手术修复是成功的。术后视网膜和视网膜色素上皮萎缩，但患者的视力仍在改善。
