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[激光膜切开术治疗急性黄斑前出血:病例报告及治疗方法概述]

[Laser membranotomy in the management of acute premacular hemorrhage : Case report and overview on the approach].

作者信息

Roth M, Eisenkopf L, Engineer D, Schmidt J C

机构信息

Augenklinik Tausendfensterhaus, Ruhrorter Str. 187, 47119, Duisburg-Ruhrort, Deutschland.

Klinik für Augenheilkunde, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

出版信息

Ophthalmologe. 2018 Dec;115(12):1059-1065. doi: 10.1007/s00347-018-0692-2.

Abstract

Acute premacular bleeding is often associated with vasoproliferative retinal changes, vascular anomalies or a Valsalva maneuver. The diagnosis is made during the funduscopic examination and can if necessary be confirmed with optical coherence tomography (OCT). This article presents a case example with a sub-inner limiting membrane (ILM)/sub-hyaloidal bleeding. Furthermore, we present various treatment options and give an overview on the use of the Nd:YAG laser for laser membranotomy as a minimally invasive treatment option with a low complication profile.

摘要

急性黄斑前出血通常与视网膜血管增生性改变、血管异常或瓦尔萨尔瓦动作有关。诊断通过眼底检查做出,必要时可通过光学相干断层扫描(OCT)进行确认。本文介绍了一例内界膜下/玻璃体后间隙出血的病例。此外,我们还介绍了各种治疗选择,并概述了将钕钇铝石榴石激光用于激光膜切开术作为一种并发症少的微创治疗选择的情况。

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