白内障术后2期黄斑孔的自发闭合

A. Dhami, N. Dhami, G. Dhami
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摘要

我们报告一例64岁女性,表现为左眼视力下降3个月。右眼视力20/30,N6,左眼视力20/200,N36。她患有2级核硬化,光学相干断层扫描显示左眼黄斑洞2级。黄斑孔直径286微米,基底直径486微米。患者接受了左眼白内障人工晶状体植入术。1个月时,观察到视网膜内层重合,随后视网膜内外重合,在第3个月随访时完全自发闭合,视力增加20/40,N8。本病例强调,随着玻璃体黄斑牵引力的解除,2期黄斑孔可以自发闭合。
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Spontaneous closure of stage 2 macular hole after cataract surgery
We report a case of 64-year-old female, presented with decreased vision in left eye, for 3 months. Her vision was 20/30, N6 in right eye and 20/200 and N36 in left eye. She had nuclear sclerosis grade 2 and optical coherence tomography showed stage-2 macular hole in left eye. The macular hole diameter was 286 microns and the basal dimeter of 486 microns. The patient underwent cataract surgery with intraocular lens implantation in left eye. At 1 month, an inner retinal layer apposition was noted with subsequent inner to outer retinal apposition, resulting in complete spontaneous closure at the 3rd month follow up with visual acuity gain of 20/40, N8. This case highlights that stage-2 macular hole can close spontaneously with relief of vitreomacular traction.
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