正常眼中复发性黄斑脱离和视网膜劈裂伴脉络膜内空洞形成
Recurrent macular detachment and retinoschisis associated with intrachoroidal cavitation in a normal eye.
作者信息
Akimoto Masayuki, Akagi Tadamichi, Okazaki Kazushiro, Chihara Etsuo
机构信息
Department of Ophthalmology and National Hospital Organization, and Kyoto University Graduate School of Medicine, Kyoto, and Japan.
出版信息
Case Rep Ophthalmol. 2012 May;3(2):169-74. doi: 10.1159/000339292. Epub 2012 May 16.
PURPOSE
To describe a patient with intrachoroidal cavitation in the normal eye that caused self-limiting recurrent macular detachment and retinoschisis.
CASE REPORT
An 80-year-old female patient with intrachoroidal cavitation in the normal eye presented with macular detachment and retinoschisis after cataract surgery. These were treated with intravitreal bevacizumab and then absorbed within 9 months. One year after cataract surgery, the patient presented with macular detachment and retinoschisis in the same eye again. These were absorbed within 4 months without treatment.
CONCLUSION
This case suggests that similar cases of cystoid macular edema after cataract surgery can occur, and that intrachoroidal cavitation is observed not only in eyes with pathologic myopia but also in normal eyes with peripapillary atrophy; intrachoroidal cavitation can cause macular detachment and retinoschisis.
目的
描述一例正常眼脉络膜内出现空洞，导致自限性复发性黄斑脱离和视网膜劈裂的患者。
病例报告
一名80岁女性患者，正常眼存在脉络膜内空洞，白内障手术后出现黄斑脱离和视网膜劈裂。给予玻璃体腔内注射贝伐单抗治疗，9个月内这些病变吸收。白内障手术后一年，该患者同一只眼再次出现黄斑脱离和视网膜劈裂。未经治疗，4个月内这些病变吸收。
结论
该病例提示白内障手术后可出现类似的黄斑囊样水肿病例，且脉络膜内空洞不仅见于病理性近视眼中，也见于存在视乳头周围萎缩的正常眼中；脉络膜内空洞可导致黄斑脱离和视网膜劈裂。
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