Simon P, Glacet-Bernard A, Binaghi M, Coscas G, Soubrane G
Clinique Ophtalmologique Universitaire de Créteil, 40, avenue de Verdun, 94000 Créteil.
J Fr Ophtalmol. 2001 Jan;24(1):64-8.
We report the case of a 39-year old man who presented with central serous chorioretinopathy. Two months after diagnosis, argon laser photocoagulation was performed. One month later, the patient noticed distortion and a reduction in vision revealing a subretinal neovascularization above the fovea next to the laser scar. The patient underwent surgical extraction of the neovascular membrane and recovered a visual acuity of 20/30. This case report shows a complication of laser treatment of central serous chorioretinopathy and underlines the diagnostic difficulties of this disease and its treatment modalities. The surgical excision, the first reported in this etiology, led to good visual recovery, as is usually observed in young patients operated on for neovascular membrane.
我们报告了一例39岁患有中心性浆液性脉络膜视网膜病变的男性病例。诊断两个月后,进行了氩激光光凝治疗。一个月后,患者注意到视物变形和视力下降,发现激光瘢痕旁黄斑上方有视网膜下新生血管形成。患者接受了新生血管膜的手术摘除,视力恢复到20/30。本病例报告显示了中心性浆液性脉络膜视网膜病变激光治疗的一种并发症,并强调了该疾病诊断的困难及其治疗方式。首次报道的针对该病因的手术切除,带来了良好的视力恢复,这在因新生血管膜接受手术的年轻患者中通常可以观察到。