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一例罕见的蛇咬伤后双侧牵引性视网膜脱离病例。

A rare case of bilateral tractional retinal detachment following snakebite.

作者信息

Thomas Nicey Roy, Das Debmalya, Saurabh Kumar, Roy Rupak

机构信息

Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India.

出版信息

Indian J Ophthalmol. 2017 Nov;65(11):1238-1240. doi: 10.4103/ijo.IJO_542_17.

Abstract

A 13-year-old female presented with diminution of vision in both eyes for 3 months following snakebite. Best-corrected visual acuities were hand movement in both eyes. Fundoscopy showed vitreous hemorrhage, and B-scan ultrasonography revealed an underlying tractional retinal detachment (TRD) involving the macula in both eyes. Patient underwent 25-gauge pars plana vitrectomy in conjunction with belt buckling, endolaser, and silicone oil tamponade in the left eye. At 6 weeks postoperatively, best-corrected visual acuity of the left eye was noted to be 20/200 with settled TRD and attached retina. Bilateral proliferative retinopathy with TRD is a hitherto unreported complication of snake bite.

摘要

一名13岁女性在被蛇咬伤后双眼视力下降3个月。双眼最佳矫正视力均为手动。眼底检查显示玻璃体出血,B超检查发现双眼均有累及黄斑的牵拉性视网膜脱离(TRD)。患者左眼接受了25G经睫状体平坦部玻璃体切除术,联合环扎、眼内激光和硅油填充。术后6周,左眼最佳矫正视力为20/200,TRD稳定,视网膜复位。双侧增殖性视网膜病变伴TRD是蛇咬伤迄今为止未报道的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b28/5700607/18e816ac1f86/IJO-65-1238-g001.jpg

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