Piermarocchi Stefano, Benetti Elisa, Fracasso Gianfranco
Department of Neurosciences, Ophthalmology Unit, University of Padua, Padua, Italy.
J AAPOS. 2011 Jun;15(3):314-6. doi: 10.1016/j.jaapos.2011.02.008. Epub 2011 Jun 12.
Choroidal neovascularization, an uncommon occurrence in children, may complicate up to 20% of cases of closed-globe blunt trauma with Bruch's membrane rupture. Visual outcome in untreated eyes is usually poor, and there is no consensus on the management of this complication. Treatment options include observation, surgical removal of the membrane, photocoagulation, or photodynamic therapy. Antivascular endothelial growth factor therapy has recently been proposed in sporadic adult cases. We report a case of post-traumatic choroidal neovascularization in a boy that has was successfully treated with intravitreal bevacizumab.
脉络膜新生血管形成在儿童中并不常见，在伴有 Bruch 膜破裂的闭合性眼球钝挫伤病例中，其发生率可能高达 20%。未经治疗的眼睛视力预后通常较差，对于这种并发症的处理尚无共识。治疗选择包括观察、手术切除膜、光凝或光动力疗法。抗血管内皮生长因子疗法最近在散发性成人病例中被提出。我们报告一例男孩创伤后脉络膜新生血管形成，经玻璃体内注射贝伐单抗成功治疗。
