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中心性浆液性脉络膜视网膜病变激光光凝术后脉络膜新生血管的处理

Management of choroidal neovascularization following laser photocoagulation for central serous chorioretinopathy.

作者信息

Ha Tae Wook, Ham Don Il, Kang Se Woong

机构信息

Department of Ophthalmology, Masan Samsung Hospital, Masan, Korea.

出版信息

Korean J Ophthalmol. 2002 Dec;16(2):88-92. doi: 10.3341/kjo.2002.16.2.88.

Abstract

Little is known about the natural history and management of choroidal neovascularization (CNV) which developed as a complication of laser photocoagulation for central serous chorioretinopathy (CSC). We experienced two patients with CNV which developed after laser treatment for CSC. Submacular membranectomy was performed on both cases after the confirmation of subretinal CNV with optical coherence tomography. One patient received photodynamic therapy for recurrent CNV. The vision of both patients has been improved over 6 months of follow up. These cases suggest that active intervention, including submacular surgery, improves the visual prognosis of this condition.

摘要

对于作为中心性浆液性脉络膜视网膜病变(CSC)激光光凝并发症而出现的脉络膜新生血管(CNV)的自然病史和治疗方法知之甚少。我们遇到了两名在CSC激光治疗后出现CNV的患者。在通过光学相干断层扫描确认视网膜下CNV后,对这两名患者均进行了黄斑下膜切除术。一名患者接受了复发性CNV的光动力疗法。经过6个月的随访,两名患者的视力均有所改善。这些病例表明,包括黄斑下手术在内的积极干预可改善这种情况的视觉预后。

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