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不切除视网膜劈裂腔的玻璃体视网膜手术治疗青少年X连锁视网膜劈裂症

Vitreoretinal surgery without schisis cavity excision for the management of juvenile X linked retinoschisis.

作者信息

García-Arumí J, Corcóstegui I A, Navarro R, Zapata M A, Berrocal M H

机构信息

Instituto de Microcirugía Ocular, Barcelona, Spain.

出版信息

Br J Ophthalmol. 2008 Nov;92(11):1558-60. doi: 10.1136/bjo.2008.140889.

DOI:10.1136/bjo.2008.140889
PMID:18952658
Abstract

Juvenile X linked retinoschisis (XLRS) is a congenital X linked recessive retinal disorder characterised by cystic maculopathy and peripheral schisis. This study presents the case of an 8-month-old boy with a documented positive family history of XLRS, with a large retinoschisis cavity affecting the macula, first in the left eye and 1 year later in the right eye. The patient underwent pars plana vitrectomy in both eyes using 23-G instruments, posterior hyaloid dissection, a small retinotomy, fluid drainage with a 42-G cannula, infrared diode laser and silicone oil as internal tamponade. The anatomical and functional outcomes at 3 years following the first surgery are described. To the authors' knowledge, there is no previously reported experience with this technique in patients with XLRS.

摘要

青少年X连锁视网膜劈裂症(XLRS)是一种先天性X连锁隐性视网膜疾病,其特征为囊性黄斑病变和周边视网膜劈裂。本研究报告了一例8个月大男孩的病例,该男孩有XLRS的家族史记录,存在一个累及黄斑的大视网膜劈裂腔,首先出现在左眼,1年后出现在右眼。该患者双眼均使用23G器械进行了玻璃体切除术,进行了后玻璃体膜剥离、小视网膜切开术、用42G套管引流液体、使用红外二极管激光以及硅油作为眼内填充。描述了首次手术后3年的解剖学和功能结果。据作者所知,此前尚无关于该技术应用于XLRS患者的报道。

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