Helbig Horst, Niederberger Hugo
Department of Ophthalmology, Cantonal Hospital of St Gallen, St Gallen, Switzerland.
Am J Ophthalmol. 2003 Dec;136(6):1157-9. doi: 10.1016/s0002-9394(03)00568-3.
To describe a case of presumed combined hamartoma of the retina and retinal pigment epithelium associated with preretinal neovascularization.
Observational case report.
We report clinical and angiographic findings of a 26-year-old woman.
The patient presented with mild vitreous hemorrhage and slowly decreasing vision in the right eye. A combined hamartoma of the midperipheral retina and retinal pigment epithelium with an epiretinal membrane causing traction to the macula was found. Fluorescein angiography showed areas of capillary nonperfusion and a large preretinal neovascularization peripheral to the hamartoma.
A combined hamartoma may be associated with retinal capillary nonperfusion and preretinal neovascularization, suggesting that significant retinal ischemia can occur with a combined hamartoma.
描述一例疑似视网膜与视网膜色素上皮联合错构瘤伴视网膜前新生血管形成的病例。
观察性病例报告。
我们报告了一名26岁女性的临床和血管造影检查结果。
该患者右眼出现轻度玻璃体积血，视力逐渐下降。发现周边视网膜中部和视网膜色素上皮联合错构瘤，伴有视网膜前膜对黄斑产生牵拉。荧光素血管造影显示存在毛细血管无灌注区以及错构瘤周边有一大片视网膜前新生血管形成。
联合错构瘤可能与视网膜毛细血管无灌注和视网膜前新生血管形成有关，提示联合错构瘤可能会导致明显的视网膜缺血。
