[激光事故致黄斑裂孔前的坏死情况]

[Aspect of necrosis preceding macular hole from laser accident].

作者信息

Boni S, Tuil E, Barale P O, Scheer S, Sahel J A

机构信息

Service 4, Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris, France.

出版信息

J Fr Ophtalmol. 2009 Apr;32(4):286.e1-3. doi: 10.1016/j.jfo.2009.01.011. Epub 2009 Apr 1.

DOI:10.1016/j.jfo.2009.01.011

PMID:19769862

Abstract

We report the clinical case of a 26-year-old victim of a macular injury by high energy laser. The patient was examined in the emergency unit the first day with a retinophotography. He was followed up at 1 week, 3 weeks, and 3 months with an ophthalmologic exam, a retinophotography, and an OCT. The lesions progressed from edema with macular hemorrhage to macular necrosis and then to a macular hole. The macular injury by high energy laser was responsible for a necrotic modification of the macula preceding the formation of the macular hole.

摘要

我们报告了一例26岁因高能激光导致黄斑损伤的临床病例。患者在受伤第一天于急诊科接受了视网膜照相检查。随后在1周、3周和3个月时接受了眼科检查、视网膜照相检查和光学相干断层扫描（OCT）随访。病变从伴有黄斑出血的水肿发展为黄斑坏死，进而形成黄斑裂孔。高能激光导致的黄斑损伤是在黄斑裂孔形成之前黄斑发生坏死性改变的原因。