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[弓形体性视网膜脉络膜炎中的视网膜裂孔:病例系列]

[Retinal tears in toxoplasmic retinochoroiditis: case series].

作者信息

Lucena Daniel da Rocha, Ribeiro Jefferson Augusto Santana, Lucena David da Rocha, de Lucena Anna Lívia Pozzi, Jorge Rodrigo

机构信息

Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

出版信息

Arq Bras Oftalmol. 2009 Nov-Dec;72(6):829-31. doi: 10.1590/s0004-27492009000600018.

Abstract

This study is a retrospective case series aiming to evaluate the relation between toxoplasmic retinochoroiditis scars and the occurrence of retinal tears. Ten patients with retinal tear and toxoplasmic retinochoroiditis examined at the School of Medicine of Ribeirão Preto Clinics Hospital, between January 2007 and April 2008, were included. Fisher test and qui-square test with significance level of p<0.05 were used. Eight cases (80%) had retinal detachment. Twelve tears were found and localized mostly in the temporal superior periphery (6 cases, 50%). No statistically significant association between retinal tear and chorioretinal scar localization was observed considering five retinal quadrants (p=0.0828) or three zones (p=0.2507). The occurrence of retinal tears in patients with uveitis may be related to early posterior vitreous detachment caused by the intraocular inflammatory process. No correlation was observed between the localization of retinal tears and chorioretinal scars in this study, which suggests a causative factor not directly related to the presence of a scar.

摘要

本研究是一项回顾性病例系列研究,旨在评估弓形虫性视网膜脉络膜炎瘢痕与视网膜裂孔发生之间的关系。纳入了2007年1月至2008年4月期间在里贝朗普雷图临床医院医学院接受检查的10例患有视网膜裂孔和弓形虫性视网膜脉络膜炎的患者。使用了显著性水平为p<0.05的Fisher检验和卡方检验。8例(80%)发生了视网膜脱离。共发现12处裂孔,主要位于颞上周边部(6例,50%)。考虑五个视网膜象限(p=0.0828)或三个区域(p=0.2507)时,未观察到视网膜裂孔与脉络膜视网膜瘢痕定位之间存在统计学上的显著关联。葡萄膜炎患者视网膜裂孔的发生可能与眼内炎症过程导致的早期玻璃体后脱离有关。本研究未观察到视网膜裂孔定位与脉络膜视网膜瘢痕之间存在相关性,这表明存在一个与瘢痕存在无直接关系的致病因素。

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