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玻璃体腔内注射组织型纤溶酶原激活剂后行八氟丙烷气体注射治疗视网膜内界膜下出血。

Sub-internal limiting membrane hemorrhage treated with intravitreal tissue plasminogen activator followed by octafluoropropane gas injection.

作者信息

Chou Yu-Kang, Huang Yi-Ming, Lin Po-Kang

机构信息

Medical Department, National Yang-Ming University, Taipei, Taiwan.

Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Taiwan J Ophthalmol. 2015 Oct-Dec;5(4):198-201. doi: 10.1016/j.tjo.2014.10.006. Epub 2014 Dec 4.

DOI:10.1016/j.tjo.2014.10.006
PMID:29018700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5602142/
Abstract

Sub-internal limiting membrane (sub-ILM) hemorrhage is a relatively rare disease which is associated with different etiologies and often leads to loss of visual acuity. We report two cases of sub-ILM hemorrhage, both confirmed by optical coherence tomography (OCT) and treated with an intravitreal injection of tissue plasminogen activator (tPA) followed by an octafluoropropane (CF) pneumopexy and a strict postoperative prone positioning. The hemorrhage was totally resolved and complete visual recovery was achieved in both cases. We found tPA hemolysis with CF pneumopexy to be a safe and effective method for treating sub-ILM hemorrhage.

摘要

内界膜下(sub-ILM)出血是一种相对罕见的疾病,其病因各异,常导致视力丧失。我们报告两例内界膜下出血病例,均经光学相干断层扫描(OCT)确诊,并接受玻璃体内注射组织纤溶酶原激活剂(tPA)治疗,随后进行八氟丙烷(CF)气体视网膜固定术及严格的术后俯卧位。两例患者出血均完全吸收,视力完全恢复。我们发现tPA联合CF气体视网膜固定术是治疗内界膜下出血的一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d08/5602142/7e27683cafe0/TJO-5-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d08/5602142/e3e3669a6a6e/TJO-5-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d08/5602142/7e27683cafe0/TJO-5-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d08/5602142/e3e3669a6a6e/TJO-5-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d08/5602142/7e27683cafe0/TJO-5-198-g002.jpg

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