Lee Jimin, Ferrucci Steven
Veterans Affairs Greater Los Angeles Healthcare System, California, USA.
Optometry. 2011 Nov;82(11):681-8. doi: 10.1016/j.optm.2011.04.104. Epub 2011 Aug 27.
Peripapillary subretinal neovascular membranes (PSRNVM) are most commonly associated with age-related macular degeneration and idiopathic causes in older patients. In younger patients, the condition has been linked to a wide variety of other conditions. As with the more commonly occurring macular form of choroidal neovascular membranes, PSRNVM can also lead to severe vision loss. Therefore, clinicians must take care to avoid overlooking this event to provide appropriate management and treatment. Current knowledge of PSRNVM suggests the importance of regular examinations of the affected eye in both treated and untreated cases to watch for progression and recurrence, which are unpredictable, and also of the fellow eye because there is a high risk of bilateral involvement.
视乳头周围视网膜下新生血管膜(PSRNVM)在老年患者中最常与年龄相关性黄斑变性及特发性病因相关。在年轻患者中,该病症与多种其他病症有关。与更常见的黄斑部脉络膜新生血管膜一样,PSRNVM也可导致严重视力丧失。因此,临床医生必须注意避免忽视这一情况,以便提供适当的管理和治疗。目前关于PSRNVM的知识表明,在已治疗和未治疗的病例中,定期检查患眼以观察病情进展和复发情况非常重要,因为这些情况不可预测,而且对侧眼也需要检查,因为存在双眼受累的高风险。