与原发性先天性青光眼相关的孔源性视网膜脱离
Rhegmatogenous retinal detachment associated with primary congenital glaucoma.
作者信息
Satofuka Shingo, Imamura Yutaka, Ishida Susumu, Ozawa Yoko, Tsubota Kazuo, Inoue Makoto
机构信息
Department of Ophthalmology, Keio University School of Medicine, 35-Shinanomachi, Shinjuku-ku, Tokyo, 160-0016, Japan.
出版信息
Int Ophthalmol. 2008 Oct;28(5):369-71. doi: 10.1007/s10792-007-9142-x. Epub 2007 Sep 26.
BACKGROUND
The development of rhegmatogenous retinal detachments (RRDs) in eyes with a history of congenital glaucoma (CG) is very rare. We present the characteristics and surgical outcomes of three cases with a RRD who had CG and had undergone surgery many years earlier.
CASES
Three men, ages 14, 43, and 48 years of age, each with a history of surgery for primary CG, presented with a RRD. All of the eyes were highly myopic. The retinal tears were located at the equator in all cases. The degree of RRD were superior half, total, and total (proliferative vitreoretinopathy).
OBSERVATIONS
Vitrectomy was performed and the retinas were reattached in all cases. However, the visual acuity in all cases remained poor.
CONCLUSIONS
Our findings indicate that a posterior vitreous detachment due to advanced vitreous liquefaction in the highly myopic eyes may have been the cause of the RRD. We recommend periodic fundus examinations in patients with CG, because while the RRD in patients with CG can be reattached the functional recovery may not be good.
背景
在有先天性青光眼（CG）病史的眼中发生孔源性视网膜脱离（RRD）非常罕见。我们介绍了3例患有RRD且早年接受过手术的CG患者的特征和手术结果。
病例
3名男性，年龄分别为14岁、43岁和48岁，均有原发性CG手术史，表现为RRD。所有眼睛均高度近视。所有病例的视网膜裂孔均位于赤道部。RRD程度分别为上半脱离、全脱离和全脱离（增殖性玻璃体视网膜病变）。
观察结果
所有病例均行玻璃体切除术，视网膜均复位。然而，所有病例的视力仍然很差。
结论
我们的研究结果表明，高度近视眼玻璃体液化进展导致的玻璃体后脱离可能是RRD的原因。我们建议对CG患者进行定期眼底检查，因为虽然CG患者的RRD可以复位，但功能恢复可能不佳。
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