为一名16岁非糖尿病女孩进行玻璃体视网膜牵引的玻璃体切除术。

Vitrectomy for vitreopapillary traction in a nondiabetic 16-year-old girl.

作者信息

Nagesha C K, Rishi Pukhraj, Rishi Ekta

机构信息

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2017 Jan-Apr;10(1):38-39. doi: 10.4103/0974-620X.200697.

DOI:10.4103/0974-620X.200697

PMID:28298864

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5338052/

Abstract

Vitreopapillary traction (VPT) is an unusual clinical entity and its management and prognosis have been sparsely studied. It has been described in adults with various vitreomacular pathologies and the possible effects on visual functions. However, the role of surgical intervention in altering the course of the disease is not well understood. Hereby, we describe a case of idiopathic VPT in a 16-year-old girl who presented with decreased vision and visual field changes corresponding to the area of retinal traction. This case was managed with pars plana vitrectomy and epiretinal membrane removal that resulted in improved visual field sensitivity; thus, emphasizing the role of surgical intervention in such eyes.

摘要

玻璃体视乳头牵引（VPT）是一种罕见的临床病症，对其治疗及预后的研究较少。已有文献报道成人玻璃体黄斑病变合并VPT及其对视功能的可能影响。然而，手术干预在改变该病病程中的作用尚不清楚。在此，我们报告一例16岁特发性VPT女孩，其因视力下降及与视网膜牵引区域相对应的视野改变前来就诊。该病例通过玻璃体切除术及视网膜前膜剥除术治疗，视野敏感度得到改善，从而强调了手术干预在这类眼中的作用。