{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T21:32:42Z","timestamp":1782768762538,"version":"3.54.5"},"reference-count":36,"publisher":"Akademiai Kiado Zrt.","issue":"38","license":[{"start":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T00:00:00Z","timestamp":1695513600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,9,24]]},"abstract":"<jats:p>Az \u00e9lesl\u00e1t\u00e1s hely\u00e9n a neuroretina teljes vastags\u00e1g\u00fa anyaghi\u00e1ny\u00e1t maculalyuknak nevezz\u00fck. M\u0171t\u00e9ti megold\u00e1sa a retina bels\u0151 hat\u00e1rh\u00e1rty\u00e1j\u00e1nak elt\u00e1vol\u00edt\u00e1sa vitrectomia sor\u00e1n g\u00e1zfelt\u00f6lt\u00e9ssel. A sikeres m\u0171t\u00e9t ut\u00e1n ism\u00e9t kialakul\u00f3 vagy m\u0171t\u00e9t ellen\u00e9re is nyitva marad\u00f3 refrakter maculalyukak (kb. 5%) z\u00e1r\u00e1s\u00e1ra sz\u00e1mos m\u0171t\u00e9ti technik\u00e1t \u00edrtak le. Jelen cikkben egy nagy m\u00e9ret\u0171, refrakter maculalyuk miatt Magyarorsz\u00e1gon els\u0151k\u00e9nt v\u00e9gzett autol\u00f3g neuroszenzoros retinatranszplant\u00e1ci\u00f3t mutatunk be, a maculalyukak seb\u00e9szet\u00e9nek r\u00f6vid \u00e1ttekint\u00e9s\u00e9vel. Beteg\u00fcnk bal szem\u00e9n h\u00f3napok \u00f3ta fenn\u00e1ll\u00f3 l\u00e1t\u00e1sroml\u00e1s miatt, 6%-os l\u00e1t\u00e1s\u00e9less\u00e9g mellett sz\u00fcrke h\u00e1lyog, epiretinalis membr\u00e1n \u00e9s nagy m\u00e9ret\u0171 maculalyuk miatt 2022. szeptember\u00e9ben sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9ttel kombin\u00e1lt vitrectomi\u00e1t v\u00e9gezt\u00fcnk ERM\/ILM peelinggel \u00e9s SF6-g\u00e1z-felt\u00f6lt\u00e9ssel. A beteg figyelm\u00e9t felh\u00edvtuk a fej posztoperat\u00edv pozicion\u00e1l\u00e1s\u00e1nak fontoss\u00e1g\u00e1ra, melyet figyelmen k\u00edv\u00fcl hagyott. 4%-os l\u00e1t\u00e1s\u00e9less\u00e9g mellett, refrakt\u00edv maculalyuk (alapj\u00e1n\u00e1l: 983 \u03bcm, legkisebb \u00e1tm\u00e9r\u0151n\u00e9l: 609 \u03bcm) miatt 2022 december 14-\u00e9n autol\u00f3g neuroszenzoros retinatranszplant\u00e1ci\u00f3t v\u00e9gezt\u00fcnk intraoperat\u00edv OCT seg\u00edts\u00e9g\u00e9vel (Zeiss ARTEVO 800). A m\u0171t\u00e9t v\u00e9g\u00e9n, a transzplant\u00e1tum helyben tart\u00e1s\u00e1t el\u0151seg\u00edtend\u0151, dekalint hagytunk a szemben, majd a beteg 5 napot hanyatt fekv\u0151 helyzetben t\u00f6lt\u00f6tt. \u00dajabb m\u0171t\u00e9ttel a dekalint elt\u00e1vol\u00edtottuk, majd C3F8-g\u00e1z-felt\u00f6lt\u00e9st v\u00e9gezt\u00fcnk. 8 h\u00e9ttel a m\u0171t\u00e9t ut\u00e1n 20%-os l\u00e1t\u00e1s\u00e9less\u00e9g mellett z\u00e1r\u00f3dott maculalyukat dokument\u00e1ltunk, mely a f\u00e9l\u00e9ves k\u00f6vet\u00e9s alatt stabilnak mutatkozott. A refrakter maculalyukak megold\u00e1s\u00e1ra sz\u00f3ba j\u00f6v\u0151 lehet\u0151s\u00e9gek k\u00f6z\u00fcl a betegnek egy\u00e9rtelm\u0171 l\u00e1t\u00e1sjavul\u00e1st eredm\u00e9nyez\u0151 autol\u00f3g neuroszenzoros retinatranszplant\u00e1ci\u00f3 megfontol\u00e1sra \u00e9rdemes beavatkoz\u00e1s. A m\u0171t\u00e9t elv\u00e9gz\u00e9s\u00e9ben nagy seg\u00edts\u00e9get jelentett az intraoperat\u00edv OCT. Az ideiglenesen szemben hagyott dekalin seg\u00edt a transzplant\u00e1tum helyben tart\u00e1s\u00e1ban, azonban folyamatos hanyatt fekv\u0151 helyzetet ig\u00e9nyel, \u00e9s elt\u00e1vol\u00edt\u00e1s\u00e1hoz \u00fajabb m\u0171t\u00e9t sz\u00fcks\u00e9ges. Tov\u00e1bbi tapasztalatokra van sz\u00fcks\u00e9g a m\u0171t\u00e9t pontos indik\u00e1ci\u00f3s k\u00f6r\u00e9nek meg\u00e1llap\u00edt\u00e1s\u00e1hoz. Orv Hetil. 2023; 164(38): 1511\u20131517.<\/jats:p>","DOI":"10.1556\/650.2023.32879","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T13:23:10Z","timestamp":1695648190000},"page":"1511-1517","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":5,"title":["Autol\u00f3g neuroszenzoros retinatranszplant\u00e1ci\u00f3."],"prefix":"10.1556","volume":"164","author":[{"given":"\u00c1d\u00e1m","family":"Bokor","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Ken\u00e9zy Campus, Szem\u00e9szeti Oszt\u00e1ly Debrecen Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ra","family":"Makhoul","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Tansz\u00e9k Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orsolya","family":"P\u00e1sztor","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Tansz\u00e9k Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariann","family":"Fodor","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Tansz\u00e9k Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1366","DOI":"10.1016\/j.ophtha.2009.01.052","article-title":"Population-based incidence of macular holes","volume":"116","author":"McCannel","year":"2009","unstructured":"1. 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Retina 2020; 40: 1938-1945.","journal-title":"Retina"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/164\/38\/article-p1511.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/164\/38\/article-p1511.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/164\/38\/article-p1511.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T15:48:15Z","timestamp":1703260095000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/164\/38\/article-p1511.xml"}},"subtitle":["Esetbemutat\u00e1s \u00e9s a maculalyukak seb\u00e9szet\u00e9nek r\u00f6vid \u00e1ttekint\u00e9se"],"short-title":[],"issued":{"date-parts":[[2023,9,24]]},"references-count":36,"journal-issue":{"issue":"38"},"URL":"https:\/\/doi.org\/10.1556\/650.2023.32879","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,24]]}}}