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Abstract：
Purpose: To describe a case of postoperative persistent loculated subretinal fluid (SRF) that developed after pars plana vitrectomy (PPV) for vitreomacular traction (VMT) syndrome. Methods: A case was analyzed and a literature review performed. Results: A healthy 64-year-old man with no significant ocular history presented with persistent, symptomatic VMT. Combined phacoemulsification and PPV, epiretinal membrane and internal limiting membrane peeling, and gas-fluid exchange were performed. Postoperative spectral-domain optical coherence tomography imaging showed loculated foveal SRF. The SRF persisted for 8 months, with minimal change in size and little best-corrected visual acuity improvement. Conclusions: Although persistent loculated SRF has been reported after vitrectomy for rhegmatogenous retinal detachment (RD) in high myopia and tractional RD in diabetes, it has not yet been reported postoperatively after PPV for VMT. Studies of the pathophysiology and long-term course of persistent SRF after PPV for VMT are needed to inform management decisions for this rare complication.
摘要：
目的：描述一例因玻璃体黄斑牵引（VMT）综合征而在平坦部玻璃体切除术（PPV）后出现的术后持续性视网膜下液（SRF）。方法:对1例病例进行分析,并进行文献复习。结果：一名健康的64岁男性，没有明显的眼部病史，有症状的VMT。联合超声乳化和PPV，视网膜前膜和内界膜剥离，进行气体-流体交换。术后谱域光学相干断层扫描成像显示中央凹SRF。SRF持续了8个月，尺寸变化最小，最佳矫正视力改善很小。结论：尽管在高度近视的孔源性视网膜脱离（RD）和糖尿病的牵张性RD的玻璃体切除术后，已经报道了持续的局部SRF，在VMT的PPV术后尚未有报道.需要对VMTPPV后持续性SRF的病理生理学和长期过程进行研究，以告知这种罕见并发症的管理决策。
