NR 3-4/2002
|
|
|
|
|
|
|
|
|
Stan ciała szklistego w idiopatycznych
otworach plamki - ocena biomikroskopowa i ultrasonograficzna
Evaluation vitreous body in idiopathic macular holes
- biomicroscopic and ultrasonographic picture
Maria Kmera-Muszyńska, Piotr Fryczkowski, Marek Skurczyński
Z Katedry i Kliniki Okulistycznej II Wydziału Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
|
|
| Summary: |
Aim of the study: The aim of our study was
to estimate the state of the vitreous body and the vitreoretinal interface in patients
with idiopathic macular holes.
Material and methods: We examined 36 patients (41 eyes), 34 women and 2
men aged 65-72 with idiopathic macular holes. State of the hole (classified by Gass) was
established on the biomicroscopical examination using Goldmann lens and double aspheric
Volk lenses (+60,0, +90,0 D), ultrasonography Compuscan UAB 1000 Storz and fluorescein
angiography.
Results: We classified stage 2 macular hole in 7 eyes (17%), stage 3 in
28 eyes (68%) and stage 4 in 6 eyes (15%). In the slit lamp examination we revealed
partial posterior hyaloid detachment with posterior hyaloid membrane still attached at
optic nerve head in 5 eyes, vitreomacular separation in 3 eyes, and vitreofoveal
separation of posterior hyaloid membrane with the presence of focal condensation of the
posterior hyaloid membrane in front of the fovea - operculum in 11 eyes, in stage 3
macular hole. In 8 eyes we observed lacunaes, and vitreoretinal tractions in 6.
Ultrasonography was slightly more effective in revealing vitreomacular and partial PVD
separation than biomicroscopical examination. In the case of vtireoretinal tractions or
lacunaes, ultrasonography was worse than slit lamp examination.
Conclusions: The exact evaluation of condition of the vitreous body and
vitreo-retinal relationships are crucial for a further surgical treatment. |
| Słowa kluczowe: |
idiopatyczny otwór plamki, ciało szkliste, biomikroskopia,
ultrasonografia. |
| Key words: |
macular hole, vitreous body, biomicroscopy, ultrasonography. |
|
|
|
|
|
|
