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症状性局限性脉络膜血管瘤光动力治疗后的长期视觉和解剖学结果

Long-term visual and anatomic outcomes after photodynamic therapy for symptomatic circumscribed choroidal hemangioma.

作者信息

Gonzalez-Cortes Jesus H, Olvera-Barrios Abraham, Perez-Salas Jose R, Trevino-Rodríguez Hugo A, Trevino-Cavazos Ezequiel E, Gonzalez-Cantu Jesus E, Mohamed-Hamsho Jesus

机构信息

Departamento de Oftalmología. Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.

Grupo de Investigación Bpinvest. Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.

出版信息

Cir Cir. 2019;87(2):224-229. doi: 10.24875/CIRU.18000362.

DOI:10.24875/CIRU.18000362
PMID:30768064
Abstract

Circumscribed choroidal hemangiomas (CCHs) are relatively rare. We report the response of a symptomatic CCH to photodynamic therapy (PDT). A 70-year-old male presented with blurred vision of the left eye (OS). Best-corrected visual acuity (BCVA) was 20/60 right eye and 20/160 OS. Biomicroscopy revealed bilateral cataracts. Diagnosis of CCH was made fundoscopically for OS and confirmed with optical coherence tomography (OCT). One session of PDT with individualized parameters was administered. After 2 months, anatomical improvement was evidenced with OCT and BCVA was 20/60. After cataract surgery, his BCVA was of 20/25 and remained stable. PDT showed excellent anatomic and visual results after a 2-year follow-up.

摘要

局限性脉络膜血管瘤(CCHs)相对少见。我们报告了一例症状性CCH接受光动力疗法(PDT)后的反应。一名70岁男性因左眼(OS)视力模糊就诊。最佳矫正视力(BCVA)右眼为20/60,左眼为20/160。生物显微镜检查显示双侧白内障。眼底镜检查诊断左眼为CCH,并经光学相干断层扫描(OCT)确诊。采用个体化参数进行了一次PDT治疗。2个月后,OCT显示有解剖学改善,BCVA为20/60。白内障手术后,他的BCVA为20/25并保持稳定。经过2年随访,PDT显示出良好的解剖学和视觉效果。

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