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Best 型类卵黄样变性相关黄斑裂孔性视网膜脱离:两例病例系列及文献复习。

Macular hole-associated retinal detachment in Best vitelliform dystrophy: Series of two cases and literature review.

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2018 May;66(5):708-711. doi: 10.4103/ijo.IJO_1046_17.

DOI:10.4103/ijo.IJO_1046_17
PMID:29676326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5939174/
Abstract

Two eyes of 2 patients with macular hole-associated retinal detachment in clinically diagnosed vitelliruptive stage of Best vitelliform dystrophy were surgically managed by 25-gauge sutureless pars plana vitrectomy, internal limiting membrane (ILM) peeling with inverted ILM flap, and short-acting (SF) gas tamponade. The patients were assessed with respect to best-corrected visual acuity, color fundus photographs, shortwave fundus autofluorescence, and swept source optical coherence tomography. Surgical intervention led to Type 1 closure of macular hole, resolution of retinal detachment, and improvement in vision in both patients.

摘要

2 例患有黄斑裂孔相关性视网膜脱离的患者,临床诊断为 Best 型类卵黄样变性的玻璃体积血期,接受了 25G 无巩膜缝线经睫状体平坦部玻璃体切除术、内界膜(ILM)剥除联合反转 ILM 瓣、短作用(SF)气体填充治疗。对患者进行了最佳矫正视力、眼底彩色照相、短波长眼底自发荧光和扫频源光学相干断层扫描检查。手术干预导致黄斑裂孔 1 型闭合、视网膜脱离复位和 2 例患者视力提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/93bfe2e9abc2/IJO-66-708-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/40718abcacfe/IJO-66-708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/6dc592414ad5/IJO-66-708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/206f63c3b209/IJO-66-708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/93bfe2e9abc2/IJO-66-708-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/40718abcacfe/IJO-66-708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/6dc592414ad5/IJO-66-708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/206f63c3b209/IJO-66-708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd54/5939174/93bfe2e9abc2/IJO-66-708-g004.jpg

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本文引用的文献

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Ophthalmic Genet. 2017 Jan-Feb;38(1):79-82. doi: 10.3109/13816810.2015.1126614. Epub 2016 Mar 31.
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Arch Ophthalmol. 2012 Sep;130(9):1221-3. doi: 10.1001/archophthalmol.2012.407.
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Giant macular hole with Best's disease in a young boy.
Eur J Ophthalmol. 2024 Jan;34(1):39-51. doi: 10.1177/11206721231166434. Epub 2023 Mar 27.
4
Branch retinal vein occlusion in a case of Best vitelliform maculopathy.贝斯特卵黄样黄斑病变病例中的视网膜分支静脉阻塞
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Int J Ophthalmol. 2020 May 18;13(5):822-831. doi: 10.18240/ijo.2020.05.19. eCollection 2020.
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Natural course of adult-onset vitelliform lesions in eyes with and without comorbid subretinal drusenoid deposits.成人型卵黄样病变眼与非合并性视网膜下类脂沉积病变眼的自然病程。
Int Ophthalmol. 2020 Jun;40(6):1501-1508. doi: 10.1007/s10792-020-01319-2. Epub 2020 Mar 4.
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一名年轻男孩患有伴有贝斯特病的巨大黄斑裂孔。
Clin Exp Optom. 2012 Nov;95(6):643-5. doi: 10.1111/j.1444-0938.2012.00755.x. Epub 2012 Jun 24.
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Clin Exp Ophthalmol. 2012 Jan-Feb;40(1):e111-2. doi: 10.1111/j.1442-9071.2011.02585.x. Epub 2011 Jun 29.
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