Ridings B, Saracco J B, Escoffier P, Denis D, Fany A
Hôpital de la Timone, Marseille.
J Fr Ophtalmol. 1988;11(11):743-6.
The association of Morning glory syndrome and retinal detachment has been described several times. The observation of one clinical case has led us to review all the proposed physiopathogenic hypotheses and to deduce an original therapeutic attitude. The possibility of an abnormal communication between the sub retinal and sub arachnoidal spaces has justified the use of acetazolamide to reduce the secretion of spinal fluid and the prevention of its subretinal diffusion by an ocular compression. The reapplication which has been obtained was followed by a wide spread retinopexy on the detached retina. In addition, an intravitreous injection of C3F8 has been used to treat of a retinal hole in the staphylomatous area.
牵牛花综合征与视网膜脱离的关联已被多次描述。对一例临床病例的观察促使我们回顾所有提出的病理生理假说，并推断出一种原创的治疗方法。视网膜下间隙与蛛网膜下间隙之间存在异常交通的可能性，为使用乙酰唑胺减少脑脊液分泌以及通过眼部压迫防止其视网膜下扩散提供了依据。在视网膜复位后，对脱离的视网膜进行了广泛的视网膜固定术。此外，还使用了玻璃体内注射C3F8来治疗葡萄肿区域的视网膜裂孔。
