一名青少年患者因视网膜前膜继发黄斑裂孔。
Macular hole secondary to epiretinal membrane in a juvenile patient.
作者信息
Yokoyama Toshiyuki, Watanabe Yasuo, Okisaka Shigekuni, Murakami Akira
机构信息
Department of Ophthalmology, Juntendo University, School of Medicine, Tokyo 113-8431, Japan.
出版信息
Am J Ophthalmol. 2005 Feb;139(2):357-9. doi: 10.1016/j.ajo.2004.07.045.
PURPOSE
To report a macular hole secondary to an idiopathic epiretinal membrane in a 14-year-old girl.
DESIGN
Interventional case report.
METHODS
A 3-year-old girl who failed a public visual-screening test was examined. Since then, she had been followed-up for her epiretinal membrane, which began to peel spontaneously in the left eye for 11 years until a macular hole was observed. She was treated by vitrectomy and membranectomy, and the membrane was histologically examined.
RESULT
The macular hole was successfully closed, and her visual acuity improved. The membrane appeared to have a homogenous structure and contained no cells.
CONCLUSIONS
The juvenile idiopathic epiretinal membrane sometimes peels spontaneously. However, long-term follow-up is needed because vitreous traction of the membrane by intraocular aging change may result in a macular hole.
目的
报告一名14岁女孩继发于特发性视网膜前膜的黄斑裂孔。
设计
介入性病例报告。
方法
对一名在公共视力筛查测试中未通过的3岁女孩进行检查。此后，她因视网膜前膜接受随访，该视网膜前膜在左眼自发剥脱11年，直至观察到黄斑裂孔。她接受了玻璃体切除术和膜切除术，并对该膜进行了组织学检查。
结果
黄斑裂孔成功闭合，视力提高。该膜似乎具有均匀的结构，且无细胞。
结论
青少年特发性视网膜前膜有时会自发剥脱。然而，由于眼内老化变化导致的膜玻璃体牵拉可能会导致黄斑裂孔，因此需要长期随访。
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