Shields Carol L, Materin Miguel A, Marr Brian P F, Mashayekhi Arman, Shields Jerry A
Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Ophthalmic Surg Lasers Imaging. 2005 May-Jun;36(3):237-9.
A 45-year-old man was referred for 2 months of decreasing vision in his left eye. His visual acuity was 20/200 secondary to a subtle juxtapapillary choroidal hemangioma producing profound cystoid macular edema, with the affected retina measuring 330 microns thick by optical coherence tomography. Due to the severe cystoid macular edema, visual prognosis was judged to be poor. One month following photodynamic therapy to the tumor using verteporfin, the cystoid macular edema completely resolved, foveal anatomy returned to normal, optical coherence tomography thickness was 179 microns, and visual acuity recovered to 20/25. Photodynamic therapy of choroidal hemangioma may be effective in resolving associated cystoid macular edema and improving visual acuity.
一名45岁男性因左眼视力下降2个月前来就诊。其视力为20/200，原因是一个微小的视乳头旁脉络膜血管瘤导致严重的黄斑囊样水肿，通过光学相干断层扫描测量，受累视网膜厚度为330微米。由于严重的黄斑囊样水肿，视觉预后被判定为较差。在使用维替泊芬对肿瘤进行光动力治疗1个月后，黄斑囊样水肿完全消退，黄斑中心凹解剖结构恢复正常，光学相干断层扫描厚度为179微米，视力恢复到20/25。脉络膜血管瘤的光动力治疗可能对解决相关的黄斑囊样水肿和提高视力有效。
