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[光学相干断层扫描在筛窦黏液瘤手术切除后脉络膜皱褶监测中的应用]

[Optical coherence tomography in monitoring of choroidal folds after surgical excision of ethmoidal myxoma].

作者信息

Zubilewicz Anna, Dolar-Szczasny Joanna, Rakowska Ewa, Mackiewicz Jerzy

机构信息

Klinika Chirurgii Siatkówki i Ciała Szklistego Uniwersytetu Medycznego w Lublinie.

出版信息

Klin Oczna. 2013;115(2):141-3.

Abstract

PURPOSE

We describe a case of choroidal folds coexisting with ethmoidal myxoma and the evolution of folds after tumor excision. Choroidal folds can occure in the case of intraorbital pathology. Optical coherence tomography is usefull in diagnosis and monitoring of these folds.

MATERIAL AND METHODS

45 years old woman was reffered to our clinic because of visal disturbances in her right eye. Visual acuity of right eye was 0.5, of the left eye 1.0. Intraocular pressure of both eyes was within normal limits. Biomicroscopic evaluation of the right eye revealed no changes in anterior segment but choroidal folds in posterior segment were evident. The left eye was normal. Computer tomography of the orbit documented the presence of tumor within the right ethmoid. The tumor was excised surgically and its myxoidal nature was confirmed.

RESULTS

3 months after that intervention retinal profile in posterior pole in optical coherence tomography was normal and visual acuity of right eye improved by 1 line in Snellen chart.

CONCLUSIONS

Choroidal folds caused by ethmoidal myxoma can disapper after surgical excison of tumor. Optical coherence tomography is very useful in documentation of these changes.

摘要

目的

我们描述一例脉络膜皱褶与筛窦黏液瘤共存的病例以及肿瘤切除后皱褶的演变情况。脉络膜皱褶可发生于眶内病变。光学相干断层扫描在这些皱褶的诊断和监测中很有用。

材料与方法

一名45岁女性因右眼视力障碍转诊至我院。右眼视力为0.5,左眼视力为1.0。双眼眼压均在正常范围内。右眼的生物显微镜检查显示前段无变化,但后段的脉络膜皱褶明显。左眼正常。眼眶计算机断层扫描证实右侧筛窦内有肿瘤。肿瘤经手术切除,其黏液瘤性质得到证实。

结果

该干预措施实施3个月后,光学相干断层扫描显示后极部视网膜形态正常,右眼视力在斯内伦视力表上提高了1行。

结论

筛窦黏液瘤引起的脉络膜皱褶在肿瘤手术切除后可消失。光学相干断层扫描在记录这些变化方面非常有用。

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