微量玻璃体切除治疗激光笔致儿童全层黄斑裂孔1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2024.007

摘要/Abstract

摘要： 目的报道1例激光笔致儿童全层黄斑裂孔的临床特征和微量玻璃体切除术治疗,并讨论黄斑裂孔的形成过程及手术治疗体会。方法回顾该病例的诊疗过程,结合病例资料及相关文献进行分析讨论。结果患眼黄斑区可见1/4视盘直径大小的圆形裂孔,裂孔基底部呈灰白色,裂孔鼻侧可见扇形淡黄色病变。行玻璃体后脱离后,切除后极部微量玻璃体并剥除约1.5视盘直径范围内的内界膜,术毕空气填充。术后12天复查见裂孔成功闭合。结论修复仅有黄斑区病变的激光损伤性儿童全层黄斑裂孔,微量玻璃体切除术可以取得良好的效果。

关键词: 激光损伤, 黄斑裂孔, 玻璃体切除术, 儿童

Abstract: Objective To report the clinical features and limited vitrectomy treatment of a child with full-thickness macular hole caused by a laser pointer. We also discuss the possible process of macular hole formation and the experience of surgical treatment. Methods The diagnosis and treatment of this case were reviewed, and the case data and relevant literature were analysed and discussed. Results A round hole with a diameter of 1/4 of the optic disc was observed in the macula of the affected eye. The base of the hole was gray-white and there was a yellowish fan-shaped lesion on the nasal side of the hole. After inducing posterior vitreous detachment, a small amount of vitreous body around the posterior pole was resected. The internal limiting membrane was peeled back in a radius of approximately 1.5 PD centred on the macula. and the surgery was completed with air-fluid exchange. 12 days after surgery, OCT showed a successful closure of the macular hole. Conclusion Minimal quantity vitrectomy is effective for the repair of laser-induced full-thickness macular hole in children with lesions limited to the macular region.

Key words: Laser injury, Macular hole, Vitrectomy, Children

中图分类号:

R774.5

宋艳玲,司元元,崔彦. 微量玻璃体切除治疗激光笔致儿童全层黄斑裂孔1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 144-147.

SONG Yanling, SI Yuanyuan, CUI Yan. Minimal quantity vitrectomy for laser-pointer induced full-thickness macular hole in a child: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 144-147.

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