Nemoto Emika, Morishita Seita, Akashi Mari, Kohmoto Ryohsuke, Fukumoto Masanori, Suzuki Hiroyuki, Kobayashi Takatoshi, Kida Teruyo, Sugasawa Jun, Ikeda Tsunehiko
Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
Case Rep Ophthalmol. 2016 Dec 1;7(3):277-283. doi: 10.1159/000453391. eCollection 2016 Sep-Dec.
We report a case of proliferative retinopathy complicated with retinal hamartoma in a tuberous sclerosis patient. This study involved a 16-year-old female patient who was diagnosed as having tuberous sclerosis at birth. Ophthalmic examination revealed retinal hamartoma surrounding the optic disc in both eyes. Vitreous surgery involving a vitrectomy and resection of the proliferative membranes was performed for proliferative retinopathy in her right eye. Postoperative fundus findings showed improvement and decreased exudative changes. The proliferative and exudative changes appeared to be due to the retinal hamartoma, and vitreous surgery proved effective in this case.
我们报告一例结节性硬化症患者并发增殖性视网膜病变及视网膜错构瘤。本研究涉及一名16岁女性患者,其出生时即被诊断为结节性硬化症。眼科检查发现双眼视盘周围有视网膜错构瘤。对其右眼的增殖性视网膜病变进行了包括玻璃体切除术和增殖膜切除术的玻璃体手术。术后眼底检查结果显示有所改善,渗出性改变减少。增殖性和渗出性改变似乎是由视网膜错构瘤引起的,玻璃体手术在该病例中证明是有效的。