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对增殖性糖尿病视网膜病变患者进行对侧眼术中玻璃体腔内注射贝伐单抗后进展为黄斑脱离性牵拉性视网膜脱离。

Progression to macula-off tractional retinal detachment after a contralateral intraoperative intravitreal bevacizumab injection for proliferative diabetic retinopathy.

作者信息

Zlotcavitch Leonid, Flynn Harry W, Avery Robert L, Rachitskaya Aleksandra

机构信息

University of Miami, Miller School of Medicine, University of Miami, Miller School of Medicine, Miami, FL, USA.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami, Miller School of Medicine, Miami, FL, USA.

出版信息

Clin Ophthalmol. 2015 Jan 6;9:69-71. doi: 10.2147/OPTH.S69466. eCollection 2015.

Abstract

We report a patient with progression to a macula-off tractional retinal detachment in a fellow eye after a contralateral intraoperative intravitreal bevacizumab injection. A 32-year-old diabetic man noted decreased vision in his left eye 1 week following 25 gauge pars plana vitrectomy, gas tamponade, and intraoperative injection of bevacizumab in his right eye. Left eye visual acuity decreased from 20/80 to 20/200, and macula-off tractional retinal detachment was seen on clinical exam and imaging. Progression of tractional retinal detachment associated with proliferative diabetic retinopathy in a fellow eye after a contralateral intraoperative intravitreal bevacizumab injection may occur.

摘要

我们报告了1例患者,其在对侧眼术中玻璃体腔内注射贝伐单抗后,另一只眼进展为黄斑脱离牵引性视网膜脱离。一名32岁的糖尿病男性在右眼接受25G标准平坦部玻璃体切除术、气体填塞及术中注射贝伐单抗1周后,发现左眼视力下降。左眼视力从20/80降至20/200,临床检查和影像学检查发现黄斑脱离牵引性视网膜脱离。对侧眼术中玻璃体腔内注射贝伐单抗后,另一只眼可能会发生与增殖性糖尿病视网膜病变相关的牵引性视网膜脱离进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ee/4293918/910611ea85a6/opth-9-069Fig1.jpg

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