실리콘기름주입술을 동반한 유리체절제술 시행 후 지연 폐쇄된 황반원공 1예
Delayed Sealing of Macular Hole after Vitrectomy with Silicone Oil Tamponade
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적: 황반원공 환자에서 백내장 초음파유화술 및 실리콘기름 충전술을 포함한 유리체절제술 시행 후 원공이 지연 폐쇄된 1예를 보고하고자 한다. 증례요약: 증식당뇨망막병증으로 우안이 실명된 63세 환자가 좌안의 시력 저하를 호소하며 내원하였다. 안저 검사 및 망막 빛간섭단층촬영상 황반의 견인성 변화 및 전층황반원공이 관찰되어 백내장 초음파유화술, 유리체절제술 및 실리콘기름주입술을 시행하였다. 수술 후 전방출혈로 인하여 안면하체위를 유지하지 못하였으며 전방출혈이 흡수된 후 수술 후 1.5개월째 시행한 빛간섭단층촬영상 수술전 보이던 원공주변의 견인성 변화는 소실되었으나 원공은 폐쇄되지 않았다. 수면 시 안면하체위를 권하였으며 수술 후 3개월째 시행한 빛간섭단층촬영상 황반원공의 폐쇄를 관찰할 수 있었으며 수술 후 6개월째 망막하액의 완전한 흡수를 관찰할 수 있었다.
Abstract
Purpose: To report a case of delayed sealing of full-thickness macular hole associated with diabetic retinopathy after vitrectomy with silicone oil tamponade. Case summary: A 63-year-old woman visited our clinic complaining of decreased visual acuity in her left eye. Fundoscopy showed a full-thickness macular hole with vitreomacular traction in the left eye and bilateral proliferative diabetic retinopathy. The patient underwent uncomplicated phacoemulsification and pars plana vitrectomy with silicone oil tamponade because her vision in the contralateral eye was only light perception. She was unable to maintain a prone position postoperatively due to anterior chamber hyphema. At 1.5 months after surgery, vitreomacular traction was removed but the hole was not sealed as observed on optical coherence tomography. Approximately 3 months after vitrectomy, the macular hole was sealed with minimal subfoveal fluid. At 6 months after vitrectomy, the macular hole was closed completely with no subfoveal fluid.
참고문헌 (24)
- Morgan CM, "Idiopathic macular holes", Am J Ophthalmol, 99, pp.437~444 (1985)
- Yeh PT, "Macular hole in proliferative diabetic retinopathy with fibrovascular proliferation", Retina, 29, pp.355~361 (2009)
- Garcia-Arumi J, "The role of vitreoretinal surgery in the treatment of posttraumatic macular hole", Retina, 17, pp.372~377 (1997)
- Ho AC, "Macular hole", Surv Ophthalmol, 42, pp.393~416 (1998)
- Kwok AK, "Endolaser around macular hole in the management of associated retinal detachment in highly myopic eyes", Retina, 20, pp.439~444 (2000)
- Kelly NE, "Vitreous surgery for idiopathic macular holes. Results of a pilot study", Arch Ophthalmol, 109, pp.654~659 (1991)
- 이지은, "Indocyanine Green 염색을 이용한 내경계막 제거여부에 따른 황반원공 수술결과", 대한안과학회지, 44(11), pp.15~2559 (2003), 대한안과학회
- Johnson RN, "Idiopathic macular holes. Observations, stages of formation, and implications of surgical intervention", Ophthalmology, 95, pp.917~924 (1988)
- Chew EY, "Clinical course of macular holes: the Eye Disease Case-Control Study", Arch J Ophthalmol, 117, pp.242~246 (1999)
- Evans JR, "Systemic risk factors for idiopathic macular hole: a case-control study", Eye (Lond), 12, pp.256~259 (1998)
- Ghoraba H., "Type of macular holes encountered during diabetic vitrectomy", Retina, 22, pp.176~182 (2002)
- Lai JC, "Comparison of silicone oil versus gas tamponade in the treatment of idiopathic full-thickness macular hole", Ophthalmology, 110, pp.1170~1174 (2003)
- Goldbaum MH, "Silicone oil tamponade to seal macular holes without position restrictions", Ophthalmology, 105, pp.2140~2147 (1998)
- Pertile G, "Silicone oil vs. gas for the treatment of fullthickness macular hole", Bull Soc Belge Ophtalmol, 274, pp.31~36 (1999)
- Voo I, "Silicone oil tamponade to seal macular holes", Ophthalmology, 108, pp.1516~1517 (2001)
- Thompson JT, "Intraocular tamponade duration and success of macular hole surgery", Retina, 16, pp.373~382 (1996)
- Chandra A, "Posturing after macula hole surgery: a review", Ophthalmologica, 226, pp.3~9 (2011)
- Yorston D, "Pilot randomized controlled trial of face-down posturing following phacovitrectomy for macular hole", Eye (Lond), 26, pp.267~271 (2012)
- Oster SF, "Dynamics of the macular hole-silicone oil tamponade interface with patient positioning as imaged by spectral domain-optical coherence tomography", Retina, 30, pp.924~929 (2010)
- D’Souza MJ, "Re-operation of idiopathic full-thickness macular holes after initial surgery with internal limiting membrane peel", Br J Ophthalmol, 95, pp.1564~1567 (2011)
- Xirou T, "Full thickness macular hole clusure after exchanging silicone-oil tamponade with C(3)F(8) without posturing", Case Report Ophthalmol, 2, pp.166~169 (2011)
- Georgalas I, "Delayed closure after surgery for a full-thickness macular hole in a highly myopic eye", Can J Ophthalmol, 42, pp.341~342 (2007)
- Wong SC, "Delayed closure of pediatric macular hole in Coats’ disease", Acta Ophthalmol, 90, pp.e326~e327 (2012)
- Muselier A, "Macular hole surgery and cataract extraction: combined vs consecutive surgery", Am J Ophthalmol, 150, pp.387~391 (2010)