Takeyama Masayuki, Iwaki Masayoshi, Zako Masahiro
Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi 480-1195, Japan.
J Med Case Rep. 2014 Jun 10;8:183. doi: 10.1186/1752-1947-8-183.
Vitreous hemorrhage associated with retinopathy of prematurity is often seen in childhood, but adult onset without retinal break is rare. We describe a case of recurrent vitreous hemorrhage associated with regressed retinopathy of prematurity in a 47-year-old patient.
A 47-year-old Japanese woman with a history of retinopathy of prematurity presented with a visual disturbance in her left eye due to vitreous hemorrhage. Because the vitreous hemorrhage was recurrent and refractory, we performed pars plana vitrectomy combined with lens extraction by phacoemulsification and intraocular lens implantation. No retinal break or retinal detachment was found. No vitreous hemorrhage or other complication occurred in the first six months after surgery.
Vitrectomy, potentially in combination with lens extraction, should be considered in adult-onset recurrent vitreous hemorrhage associated with retinopathy of prematurity.
与早产儿视网膜病变相关的玻璃体积血在儿童期较为常见，但无视网膜裂孔的成人发病情况罕见。我们描述了一例47岁患者复发性玻璃体积血伴早产儿视网膜病变消退的病例。
一名有早产儿视网膜病变病史的47岁日本女性因玻璃体积血出现左眼视力障碍。由于玻璃体积血反复发生且难以治疗，我们进行了玻璃体切除术，联合超声乳化晶状体摘除及人工晶状体植入术。未发现视网膜裂孔或视网膜脱离。术后前六个月未发生玻璃体积血或其他并发症。
对于与早产儿视网膜病变相关的成人复发性玻璃体积血，应考虑行玻璃体切除术，可能需联合晶状体摘除术。
