Thacker Neepa M, Brit Michelle T, Demer Joseph L
Department of Ophthalmology, Jules Stein Eye Institute, University of California-Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095-7002, USA.
J AAPOS. 2005 Oct;9(5):495-6. doi: 10.1016/j.jaapos.2005.05.008.
Extensive persistent pupillary membranes (PPMS) may appear to occlude the pupil so completely as to preclude useful vision. They often motivate aggressive interventions. We present a 6-year-old girl with bilateral extensive densely pigmented pupillary membranes in whom good vision was obtained without pharmacologic, laser, or surgical intervention. There was associated ametropic amblyopia and exotropia in the patient, which were effectively treated with spectacles and occlusion therapy, with the patient responding conventionally. In view of our findings, we recommend a trial of conservative management before surgical intervention even in cases of dense PPMs.
广泛的持续性瞳孔膜（PPMs）可能看起来会完全遮挡瞳孔，以至于无法获得有用的视力。它们常常促使采取积极的干预措施。我们报告一名6岁女孩，其双眼有广泛的深色致密瞳孔膜，在未进行药物、激光或手术干预的情况下获得了良好视力。该患者伴有屈光不正性弱视和外斜视，通过眼镜和遮盖疗法得到了有效治疗，患者反应正常。鉴于我们的发现，我们建议即使在致密PPM的病例中，在手术干预前也应先尝试保守治疗。
