CAJ | 학술논문

目的分析青少年外伤性黄斑孔(traumatic macular hole)保守治疗的效果.方法 2011年至2013年青少年外伤性黄斑孔34例(34眼).临床确诊后进行药物保守治疗,第1天、第3天、第1周及以后每周复查,追踪黄斑孔愈合情况.结果 34眼中5眼1周内黄斑孔愈合,15眼于2周复查时愈合,6眼1个月内愈合,4眼近2个月愈合,1眼至3个月愈合,愈合的眼视力均有不同程度的提高;其余3眼在3个月后黄斑孔仍未闭合,其中2眼为小范围视网膜脱离.结论对于青少年这一特殊群体,外伤性黄斑孔一旦确诊,应以保守治疗作为首选.
목적 분석청소년외상성황반공(traumatic macular hole)보수치료적효과.방법 2011년지2013년청소년외상성황반공34례(34안).림상학진후진행약물보수치료,제1천、제3천、제1주급이후매주복사,추종황반공유합정황.결과 34안중5안1주내황반공유합,15안우2주복사시유합,6안1개월내유합,4안근2개월유합,1안지3개월유합,유합적안시력균유불동정도적제고;기여3안재3개월후황반공잉미폐합,기중2안위소범위시망막탈리.결론 대우청소년저일특수군체,외상성황반공일단학진,응이보수치료작위수선.
Objective To analyse the efficacy of conservative treatment for traumatic macular hole in young persons.Methods Thirty-four eys of 34 young patients of traumatic macular hole from 2011 to 2013 were collected in this study.After confirming the diagnosis,the conservative treatment was given to all of them,and they would be reviewed on the first day,the third day,the first week and following every week.The healing station of traumatic macular hole was observed.Results Among the 34 cases,the macular hole healed in 5 eyes within 1 week,healed in 15 eyes on the second week,healed in 6 eyes within 1 month,healed in 4 eyes after nearly 2 months,and healed in only 1 eye on the third month.The vision of them were all improved to different extent.The macular hole did not heal in 3 eyes after 3 months,and retinal detachment of small scale occurred in 2 eyes.Conclusion For the special group of young persons,conservative treatment should be the first choice for traumatic macular hole.