Kodjikian Laurent, Garweg Justus G, Fleury Jacques, Rocher François, Burillon Carole, Grange Jean-Daniel
Department of Ophthalmology, Croix-Rousse Hospital, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.
Graefes Arch Clin Exp Ophthalmol. 2004 Jun;242(6):523-6. doi: 10.1007/s00417-004-0860-8. Epub 2004 Mar 24.
To report an unusual case of almost simultaneous bilateral rhegmatogenous retinal detachment in the context of external-beam radiotherapy for a tumor at a non-ocular target site and in the absence of pre-existing ocular pathology.
Observational case report with review of corresponding literature.
A 63-year-old man was referred for bilateral retinal detachment which was associated with many horseshoe tears and proliferative vitreoretinopathy. He had undergone surgery for a carcinoma of the left maxillary sinus 4 months prior to the presentation and had then received external-beam radiotherapy for 3 months. There was no familial history of retinal detachment and/or eye trauma in this hyperopic patient with clear native lenses. No chorioretinal pathology was apparent that could have predisposed the retinas to tearing.
Simultaneous bilateral retinal detachment is exceptional, especially in a patient with no risk factors. The effect of radiotherapy on the vitreoretinal interface is discussed in the light of existing data and may have been responsible for our patient's retinal detachment.
报告一例罕见病例，患者在非眼部靶部位肿瘤的外照射放疗过程中，在无眼部既往病变的情况下，几乎同时发生双侧孔源性视网膜脱离。
观察性病例报告并回顾相关文献。
一名63岁男性因双侧视网膜脱离前来就诊，伴有多处马蹄形裂孔和增生性玻璃体视网膜病变。他在就诊前4个月接受了左上颌窦癌手术，随后接受了3个月的外照射放疗。该远视患者晶状体清晰，无视网膜脱离和/或眼外伤家族史。未发现明显的脉络膜视网膜病变可能使视网膜易于撕裂。
双侧同时性视网膜脱离很罕见，尤其是在无危险因素的患者中。根据现有数据讨论了放疗对玻璃体视网膜界面的影响，这可能是导致我们这位患者视网膜脱离的原因。
