臨床眼科77巻12号

2023年11月発行

連載 Clinical Challenge・44

裂孔原性網膜剝離に対する硝子体手術後の体位制限について再考する

著者： 後沢誠¹ 高村佳弘¹

所属機関： ¹福井大学医学部眼科学教室

ページ範囲：P.1378 - P.1382

症例

患者：60歳，男性

既往歴：双極性感情障害，身体表現性障害

現病歴：上記精神疾患のため，他院精神科に入院中。発症時期不明の視力低下を訴え，当院を紹介され受診となった。

参考文献

1）Gozawa M, Watanabe N, Iwasaki K et al：Application of moving particle semi-implicit（MPS）method on retro-oil fluid using three-dimensional vitreous cavity models from magnetic resonance imaging. Sci Rep 12：1735, 2022

2）Gozawa M, Kanamoto M, Ishida S et al：Evaluation of intraocular gas using magnetic resonance imaging after pars plana vitrectomy with gas tamponade for rhegmatogenous retinal detachment. Sci Rep 10：1521, 2020

3）Gozawa M, Takamura Y, Aoki T et al：Computational fluid dynamics（CFD）simulation analysis on retinal gas cover rates using computational eye models. Sci Rep 11：4937, 2021

4）Otsuka K, Imai H, Miki A et al：Impact of postoperative positioning on the outcome of pars plana vitrectomy with gas tamponade for primary rhegmatogenous retinal detachment：comparison between supine and prone positioning. Acta Ophthalmol 96：e189-e194, 2018

5）Casswell EJ, Yorston D, Lee E et al：Effect of face-down positioning vs support-the-break positioning after macula-involving retinal detachment repair：the PostRD randomized clinical trial. JAMA Ophthalmol 138：634-642, 2020

6）dell'Omo R, Semeraro F, Guerra G et al：Short-time prone posturing is well-tolerated and reduces the rate of unintentional retinal displacement in elderly patients operated on for retinal detachment. BMC Surg 13 Suppl 2（Suppl 2）：S55, 2013