关键词: macular edema oct (optical coherence tomography) pars plana vitrectomy retinal detachment surgery silicone oils

来  源:   DOI:10.7759/cureus.51233   PDF(Pubmed)

Abstract:
Macular edema (ME) is a major cause of reduced vision following intraocular surgery. Although the pathophysiology of ME is not completely understood, inflammatory mediators play a key role. The incidence of ME following pars plana vitrectomy with silicone oil tamponade varies between 13% and 27%. ME usually resolves spontaneously following silicone oil removal, but treatment may be required for resistant cases. In this review, the mechanisms of ME formation after pars plana vitrectomy, its incidence, and its possible therapeutic approaches are discussed.
摘要:
黄斑水肿(ME)是眼内手术后视力下降的主要原因。尽管尚未完全了解ME的病理生理学,炎症介质起关键作用。使用硅油填塞的平坦部玻璃体切除术后ME的发生率在13%至27%之间变化。ME通常在硅油去除后自发分解,但耐药病例可能需要治疗。在这次审查中,平坦部玻璃体切除术后ME形成的机制,它的发病率,并讨论了其可能的治疗方法。
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