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玻璃体切除术后与视网膜前膜相关的退行性视网膜劈裂部分消退

Partial regression of degenerative retinoschisis associated with epiretinal membrane after vitrectomy.

作者信息

Stopa Marcin, Rogalinska Izabela, Kociecki Jaroslaw

机构信息

Department of Ophthalmology, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Eur J Ophthalmol. 2010 Mar-Apr;20(2):476-8. doi: 10.1177/112067211002000237.

Abstract

PURPOSE

To report a new and atypical pathology of epiretinal membrane formation on the top of the retinoschisis (schisis-membrane).

METHODS

We describe a patient with recent visual acuity and visual field deterioration due to a rapid progression of retinoschisis in the macular area resulting from shrinking membrane on the top of the schisis. The patient underwent vitrectomy with membrane removal.

RESULTS

Partial regression of the schisis was observed and visual acuity improved from 5/12 to 5/5. Perimetry demonstrated that the corresponding visual field deterioration partially regressed.

CONCLUSIONS

Release of traction exerted by a shrinking membrane is a surgical option to promote regression of retinoschisis and improvement in visual field and vision in schisis-membrane cases.

摘要

目的

报告视网膜劈裂(劈裂膜)顶部视网膜前膜形成的一种新的非典型病理情况。

方法

我们描述了一名患者,因黄斑区视网膜劈裂迅速进展,导致视力和视野近期恶化,原因是劈裂顶部的膜收缩。该患者接受了玻璃体切除术并切除了膜。

结果

观察到劈裂部分消退,视力从5/12提高到5/5。视野检查显示相应的视野恶化部分消退。

结论

对于劈裂膜病例,解除收缩膜施加的牵引力是促进视网膜劈裂消退以及改善视野和视力的一种手术选择。

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