| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
V-003 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
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| 시신경유두오목에 황반이상이 동반된 8세 여아의 수술적 치료와 수술 중 촬영한 빛간섭단층촬영 |
| 연세대학교 의과대학 안과학교실 시기능개발 연구소 |
| 강현구, 최은영, 김성수, 고형준, 이성철, 김민 |
| 본문 : Purpose: The nature and source of the fluid in optic disc pit(ODP)-associated maculopathy, a rare congenital disease of the optic nerve head, remains controversial. We report our experience using a continuous intraoperative optical coherence tomography(OCT)-enabled microscope system for real-time anatomical evaluation of the optic pit during surgery.
Methods: A small-gauge sutureless pars plana vitrectomy was performed with continuous high-definition intraoperative OCT imaging using the Zeiss Rescan 700 device with the Lumera 700 microscope (Carl Zeiss Meditec Inc.) in an 8-year-old girl who presented with symptomatic ODP-maculopathy.
Results: Both pre-operative and intraoperative OCT images did not reveal a channel connecting the liquefied vitreous to the subretinal space, and extensive aspiration immediately near the ODP did not result in drainage of the subretinal fluid. We observed a strongly adherent translucent membrane over the ODP.
Conclusion: Contrary to a previous report, our findings appear to suggest that a different source other than liquefied vitreous may be involved, and that there may be heterogeneity in the pathogenesis of ODP-maculopathy. With this understanding in mind, we believe that surgeons can optimize outcomes by designing a maximal approach that targets the closure of this tract. |
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