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Vitreous Surgery for Idiopathic Macular Hole


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タイトル: Vitreous Surgery for Idiopathic Macular Hole
著者: Kitaoka, Takashi
発行日: 2004年12月
引用: Acta medica Nagasakiensia. 2004, 49(4), p.115-119
抄録: Idiopathic macular hole is a full-thickness defect of the neurosensory retina which can be treated by three-port vitrectomy. The pathogenesis is not understood completely, but tangential traction of the vitreous and retinal surface may cause opening of a macular hole. Vitrectomy with or without internal limiting membrane peeling may relieve the tangential traction. The anatomical success rate is 58-85% without internal limiting membrane peeling and 88-95% with internal limiting membrane peeling. A high success rate was achieved in patients who had surgery within 6 months of the onset of symptoms. Among the complications were retinal breaks, retinal detachment, retinal pigment epitheliopathy, and visual field defect, the most serious complication. Temporal visual field defect can be eliminated by reducing the fluid-gas exchange time and stabilizing intraocular pressure during surgery. Nasal visual field defect can be eliminated by the use of a lower concentration of indocyanine green or of triamcinolone acetonide instead of indocyanine green.
キーワード: Macularhole / Vitreoussurgery / Internallimitingmembrane / Retina
URI: http://hdl.handle.net/10069/9277
ISSN: 00016055
関連リンク : http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/49.115
資料タイプ: Departmental Bulletin Paper
原稿種類: publisher
出現コレクション:Volume 49, No. 4

引用URI : http://hdl.handle.net/10069/9277

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