Buerk Bruce M, Lai Wico W, Sharma Mithlesh C, Shapiro Michael J
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, USA.
Ophthalmic Surg Lasers Imaging. 2006 Jan-Feb;37(1):82-5.
A minimally invasive method for repair of rhegmatogenous retinal detachment following treatment of retinoblastoma is described. Two children with retinoblastoma developed rhegmatogenous retinal detachments following treatment with a combination of chemotherapy and cryotherapy. Each eye underwent a non-drainage scleral buckling procedure without retinopexy of the retinal break. Postoperatively, the retinas reattached and retinopexy with indirect laser photocoagulation was performed during subsequent examinations under anesthesia. The retinas have remained attached with 2 to 5 years of follow-up. The tumor recurred in case 2, was treated with additional chemotherapy, and has undergone type 1 regression. Non-drainage scleral buckling without retinopexy is a useful technique for repairing rhegmatogenous retinal detachment in eyes with retinoblastoma. The retinal break can be treated postoperatively with indirect laser photocoagulation to minimize the chance of viable tumor cell dissemination.
本文描述了一种用于视网膜母细胞瘤治疗后孔源性视网膜脱离修复的微创方法。两名视网膜母细胞瘤患儿在接受化疗和冷冻治疗后发生了孔源性视网膜脱离。每只眼睛均接受了非引流性巩膜扣带术，未对视网膜裂孔进行视网膜光凝。术后，视网膜复位，并在随后的麻醉检查期间用间接激光光凝进行视网膜光凝。经过2至5年的随访，视网膜一直保持附着状态。病例2中肿瘤复发，接受了额外的化疗，目前已出现1型消退。非引流性巩膜扣带术且不进行视网膜光凝是修复视网膜母细胞瘤患眼孔源性视网膜脱离的一种有用技术。术后可通过间接激光光凝治疗视网膜裂孔，以尽量减少存活肿瘤细胞播散的机会。
