Retinal displacement after closure of idiopathic macular hole
Retinal displacement after closure of idiopathic macular hole作者机构：Department of Ophthalmology Eye and ENT Hospital of Fudan University
出 版 物：《Asian Pacific Journal of Tropical Medicine》 (亚太热带医药杂志（英文版）)
年 卷 期：2018年第11卷第2期
页 面：155-161页
核心收录：
学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
基 金：supported by National Basic Research Program of China(973 Program,No.2013CB967503) National Natural Science Foundation of China(No.81170857) Shanghai Key Laboratory of Visual Impairment and Restoration,Fudan University,Shanghai,China
主 题：Idiopathic macular hole Optic coherence tomography Confocal scanning laser ophthalmoscopy Foveal displacement
摘 要：Objective: To study the foveal displacement during the closure of idiopathic macular holes(MHs).Methods: Thirty-seven idiopathic MH patients treated by pars plana vitrectomy and internal limiting membrane peeling were studied *** of MH center and foveal pit were measured by optic coherence *** displacement was observed using confocal scanning laser ***: A total of 40 eyes were included in this study and MHs were closed in 37 eyes(92.5%).The confocal scanning laser ophthalmoscopy showed that all of the retinal capillaries in the superior, inferior, nasal and temporal sides of the MHs moved toward the optic nerve head(ONH).The optic coherence tomography results showed that the mean nasal displacements of foveal pits were(102.9±61.2),(109.6±53.1), and(137.0±52.0) μm at 3, 6 and 12 months, *** the mean vertical displacements were(55.9±49.4),(61.4±57.8) and(67.8±54.3) μm, ***-operative foveal pits were located in the nasal side of the MH *** extension of retina and nasal to the MH were in opposite directions: the nasal hole margin moved toward the MH, but the retina located closer to the ONH moved toward the *** fellow eyes of three patients developed into idiopathic MH during the follow-up period and operations were performed for all of the three ***: Our results showed that center of macula does not move when an idiopathic MH develops, but it moves toward ONH during closure of hole; thus, new fovea is in nasal side of original fovea.
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