瓦尔萨尔瓦视网膜病变的治疗。
Treatment of Valsalva retinopathy.
作者信息
Liu Zhengfeng, Pan Xuemei, Bi Hongsheng
机构信息
*MD Shandong University of Traditional Chinese Medicine, Jinan, China (ZL); Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China (XP, HB); and Eye Institute of Shandong University of Traditional Chinese Medicine, Jinan, China (HB).
出版信息
Optom Vis Sci. 2014 Nov;91(11):e278-81. doi: 10.1097/OPX.0000000000000400.
PURPOSE
To report a case of Valsalva retinopathy treated by neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and discuss the previously reported treatments for Valsalva retinopathy.
CASE REPORT
A 35-year-old-woman experienced a sudden painless visual loss in her left eye after lifting heavy bags of manure on the farm. The patient was diagnosed as having Valsalva retinopathy. The examination revealed a macular preretinal hemorrhage. An Nd:YAG laser was used on the patient after conservative management afforded no resolution. After treatment, visual acuity improved.
CONCLUSIONS
Valsalva retinopathy can be treated by conservative management, Nd:YAG laser, and vitrectomy, but each treatment must be evaluated in regard to the duration, the location, and the amount of the hemorrhage.
目的
报告1例经掺钕钇铝石榴石（Nd:YAG）激光治疗的瓦尔萨尔瓦视网膜病变病例，并讨论先前报道的瓦尔萨尔瓦视网膜病变的治疗方法。
病例报告
一名35岁女性在农场搬运沉重的粪袋后，左眼突然出现无痛性视力丧失。该患者被诊断为瓦尔萨尔瓦视网膜病变。检查发现黄斑区视网膜前出血。在保守治疗无效后，对该患者使用了Nd:YAG激光。治疗后，视力有所改善。
结论
瓦尔萨尔瓦视网膜病变可通过保守治疗、Nd:YAG激光和玻璃体切除术进行治疗，但每种治疗方法都必须根据出血的持续时间、部位和出血量进行评估。
Zotero 插件