关键词: intravitreal gas macular hole pneumatic vitreolysis vitreomacular traction

来  源:   DOI:10.1177/2474126419888591   PDF(Pubmed)

Abstract:
UNASSIGNED: To report a case of release of vitreomacular traction (VMT) in a patient with a full thickness macular hole (FTMH) immediately following pneumatic vitreolysis (PV) combined with head bobbing movements.
UNASSIGNED: A 71-year-old female with VMT and an FTMH presented with blurred vision for 2 months to the level of 20/400. At her 1-month follow-up visit, PV was performed using C3F8 gas and she was instructed to perform the drinking bird technique for ten minutes.
UNASSIGNED: Optical coherence tomography performed ten minutes after PV with head bobbing showed VMT release and a smaller FTMH. Visual acuity improved to 20/150 immediately afterwards and to 20/80 two months later.
UNASSIGNED: Using the drinking bird technique for a continuous period of time immediately following PV may encourage rapid VMT release. PV may be a feasible option for patients with VMT and FTMH who do not want surgery.
摘要:
报告一例在充气玻璃体溶解(PV)结合头部摆动运动后立即出现全厚度黄斑裂孔(FTMH)的患者释放玻璃体黄斑牵引(VMT)的病例。
一名患有VMT和FTMH的71岁女性,视力模糊2个月,达到20/400的水平。在她为期一个月的随访中,使用C3F8气体进行PV,并指示她进行10分钟的饮水鸟技术。
在头部摆动的PV后十分钟进行光学相干断层扫描,显示VMT释放和较小的FTMH。视敏度立即提高到20/150,两个月后提高到20/80。
在PV后立即连续使用饮鸟技术可能会鼓励VMT快速释放。对于不希望手术的VMT和FTMH患者,PV可能是可行的选择。
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