青少年X连锁视网膜劈裂症预防性视网膜劈裂腔切除术后7年发生视网膜脱离。

Retinal detachment 7 years after prophylactic schisis cavity excision in juvenile X-linked retinoschisis.

作者信息

Sobrin Lucia, Berrocal Audina M, Murray Timothy G

机构信息

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Miami, Florida 33136, USA.

出版信息

Ophthalmic Surg Lasers Imaging. 2003 Sep-Oct;34(5):401-2.

PMID:14509466

Abstract

A 7-year-old boy with X-linked juvenile retinoschisis developed a retinal detachment at the site of previous prophylactic excision of a schisis cavity. The patient underwent a scleral buckle procedure, pars plana vitrectomy, membrane peel, and silicone oil injection with successful reattachment. At last follow-up, the visual acuity was 20/400 and the retina was attached. Prophylactic excision of a schisis cavity may be complicated by retinal detachment several years after the surgery. Given the favorable natural history of schisis cavities in X-linked juvenile retinoschisis, the decision to perform prophylactic excision should be undertaken cautiously after full consideration of the potential complications.

摘要

一名患有X连锁青少年视网膜劈裂症的7岁男孩，在先前预防性切除视网膜劈裂腔的部位发生了视网膜脱离。该患者接受了巩膜扣带术、玻璃体切割术、膜剥离术和硅油注入术，视网膜成功复位。在最后一次随访时，视力为20/400，视网膜已复位。预防性切除视网膜劈裂腔在手术后数年可能会并发视网膜脱离。鉴于X连锁青少年视网膜劈裂症中视网膜劈裂腔的自然病程良好，在充分考虑潜在并发症后，应谨慎做出进行预防性切除的决定。