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冯·希佩尔-林道病的后极部及周边视网膜纤维血管增殖

Posterior Pole and Peripheral Retinal Fibrovascular Proliferation in von Hippel Lindau Disease.

作者信息

Elborgy Ebrahim, Pulido Jose S

机构信息

Research Institute of Ophthalmology, Giza, Egypt.

Department of Ophthalmology, Mayo Clinic, Rochester, MN.

出版信息

Asia Pac J Ophthalmol (Phila). 2017 May-Jun;6(3):256-260. doi: 10.22608/APO.2016205.

DOI:10.22608/APO.2016205
PMID:28558182
Abstract

PURPOSE

To report the occurrence of fibrovascular proliferation (FVP) in the retina in von Hippel-lindau (VHl) patients and its association with prior treatment.

DESIGN

A retrospective study.

METHODS

A retrospective study of 101 VHL patients. Fundus photos were available for 28 patients. FVP was classified into peripheral and posterior pole.

RESULTS

All 28 patients had retinal capillary hemangioblastomas (RCH) in 1 or both eyes; 15 patients were found to have FVP (group A), whereas 13 patients did not (group B). Mean age of patients in group A was 35 ± 11.3 years and 36.6 ± 13.8 in group B (P = 0.74). In group A, 27 eyes had RCH; 21 (77.77%) had FVP. In group B, 19 eyes had RCH. The number of treated eyes was significantly higher in group A (81.48%) than group B (42.1%) (P = 0.007). In group A, FVP was noted in the posterior pole in 9 eyes, in the periphery in 5 eyes, and 7 eyes developed both posterior pole and peripheral FVP.

CONCLUSIONS

FVP can occur in the peripheral retina and in the posterior pole. There is a significant association between prior treatment of RCH and the occurrence of FVP.

摘要

目的

报告冯·希佩尔-林道(VHL)病患者视网膜中纤维血管增殖(FVP)的发生情况及其与既往治疗的关联。

设计

一项回顾性研究。

方法

对101例VHL患者进行回顾性研究。28例患者有眼底照片。FVP分为周边部和后极部。

结果

所有28例患者单眼或双眼均有视网膜毛细血管瘤(RCH);15例患者发现有FVP(A组),而13例患者没有(B组)。A组患者的平均年龄为35±11.3岁,B组为36.6±13.8岁(P = 0.74)。A组中,27只眼有RCH;21只眼(77.77%)有FVP。B组中,19只眼有RCH。A组接受治疗的眼数(81.48%)显著高于B组(42.1%)(P = 0.007)。A组中,9只眼后极部出现FVP,5只眼周边部出现FVP,7只眼后极部和周边部均出现FVP。

结论

FVP可发生于周边视网膜和后极部。RCH的既往治疗与FVP的发生之间存在显著关联。

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引用本文的文献

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Case Rep Ophthalmol. 2019 Oct 1;10(3):327-333. doi: 10.1159/000502970. eCollection 2019 Sep-Dec.
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Peripheral retinal nonperfusion using widefield imaging with von Hippel-Lindau disease.使用广角成像技术观察冯·希佩尔-林道病的周边视网膜无灌注情况。
Int J Retina Vitreous. 2018 Oct 3;4:36. doi: 10.1186/s40942-018-0139-6. eCollection 2018.