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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.

DOI:10.1007/s00347-018-0692-2
PMID:29594568
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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Front Ophthalmol (Lausanne). 2022 Jul 13;2:935188. doi: 10.3389/fopht.2022.935188. eCollection 2022.

本文引用的文献

1
Sub-internal limiting membrane hemorrhage treated with intravitreal tissue plasminogen activator followed by octafluoropropane gas injection.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。
Taiwan J Ophthalmol. 2015 Oct-Dec;5(4):198-201. doi: 10.1016/j.tjo.2014.10.006. Epub 2014 Dec 4.
2
Nd:YAG laser hyaloidotomy in the management of Premacular Subhyaloid Hemorrhage.钕钇铝石榴石激光玻璃体切割术治疗黄斑前玻璃体下出血
BMC Ophthalmol. 2016 Apr 18;16:41. doi: 10.1186/s12886-016-0218-0.
3
Valsalva retinopathy with double ring sign: Laser membranotomy for twin bleeds.
伴有双环征的瓦尔萨尔瓦视网膜病变:针对双发性出血的激光膜切开术
Saudi J Ophthalmol. 2016 Jan-Mar;30(1):68-70. doi: 10.1016/j.sjopt.2015.10.003. Epub 2015 Oct 30.
4
Nd:YAG Laser Hyaloidotomy for the Treatment of Acute Subhyaloid Hemorrhage: A Comparison of Two Cases.Nd:YAG 激光玻璃体切开术治疗急性玻璃体内出血:两例对比。
Ophthalmol Ther. 2016 Jun;5(1):111-20. doi: 10.1007/s40123-015-0043-1. Epub 2015 Dec 22.
5
Valsalva-Like Retinopathy Secondary to Pancytopenia following Induction of Etoposide and Ifosfamide.依托泊苷和异环磷酰胺诱导后全血细胞减少继发的类瓦尔萨尔瓦视网膜病变
Case Rep Ophthalmol Med. 2015;2015:985303. doi: 10.1155/2015/985303. Epub 2015 Jan 28.
6
[Retinal Arterial Macroaneurysms (RAM)--pathology, differenzial diagnoses, and therapy].[视网膜动脉大动脉瘤(RAM)——病理学、鉴别诊断及治疗]
Klin Monbl Augenheilkd. 2014 Sep;231(9):890-900. doi: 10.1055/s-0034-1382953. Epub 2014 Sep 2.
7
Nd:YAG membranotomy for preretinal hemorrhage secondary to valsalva retinopathy.钕钇铝石榴石激光膜切开术治疗瓦尔萨尔瓦视网膜病变继发的视网膜前出血
Saudi J Ophthalmol. 2014 Apr;28(2):145-51. doi: 10.1016/j.sjopt.2014.02.006. Epub 2014 Feb 28.
8
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Long-term evolution of Valsalva retinopathy: a case series.瓦尔萨尔瓦视网膜病变的长期演变:病例系列
J Med Case Rep. 2012 Oct 10;6:346. doi: 10.1186/1752-1947-6-346.
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[Spontaneous macula hemorrhage. Subhyaloid/sub-inner limiting membrane (ILM)].[自发性黄斑出血。玻璃体后间隙/内界膜(ILM)]
Ophthalmologe. 2012 Jul;109(7):702-6. doi: 10.1007/s00347-012-2539-6.