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玻璃体积血为印度人眼周边渗出性出血性脉络膜视网膜病变的首发表现。

Vitreous hemorrhage as the presenting feature of peripheral exudative hemorrhagic chorioretinopathy in Indian eyes.

机构信息

Department of Vitreoretina, ICARE Eye Hospital and Postgraduate Institute, Noida, U.P, India.

出版信息

Indian J Ophthalmol. 2019 Mar;67(3):419-423. doi: 10.4103/ijo.IJO_714_18.

DOI:10.4103/ijo.IJO_714_18
PMID:30777976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6407398/
Abstract

Five Indian patients presenting with unilateral vitreous hemorrhage (VH) underwent pars plana vitrectomy (PPV) and were found to have lesions suggestive of peripheral exudative hemorrhagic chorioretinopathy (PEHCR). All eyes had extensive sub-retinal hemorrhage; three also showed an elevated mass lesion. The temporal retina anterior to the equator was the most commonly affected site. Exudative manifestations were absent in all. No recurrences occurred over a mean follow-up of 17.5 months. Although PEHCR is reported to be rare in Asians, this series demonstrates that it can present as VH in Indians as well. Unless the macula has irreversible damage, a favorable outcome can be obtained with PPV alone.

摘要

五名单侧玻璃体积血(VH)的印度患者接受了经睫状体平坦部玻璃体切除术(PPV),发现有周边渗出性出血性脉络膜视网膜病变(PEHCR)的病变提示。所有眼睛都有广泛的视网膜下出血; 有三只眼睛还出现了隆起的肿块病变。赤道前的颞侧视网膜是最常受影响的部位。所有患者均无渗出表现。在平均 17.5 个月的随访中,没有复发。虽然 PEHCR 在亚洲人中报道较少,但本系列表明它也可以在印度人中表现为 VH。除非黄斑区有不可逆转的损伤,否则单独进行 PPV 可以获得良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/29c333b69876/IJO-67-419-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/02e11b3328ce/IJO-67-419-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/d875e82236bc/IJO-67-419-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/29c333b69876/IJO-67-419-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/02e11b3328ce/IJO-67-419-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/d875e82236bc/IJO-67-419-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd5/6407398/29c333b69876/IJO-67-419-g003.jpg

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Int Ophthalmol. 2017 Apr;37(2):429-431. doi: 10.1007/s10792-016-0277-5. Epub 2016 Jun 16.
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Ultra-wide field imaging in peripheral exudative haemorrhagic chorioretinopathy (PEHCR).超广角成像在外周渗出性出血性脉络膜视网膜病变(PEHCR)中的应用
BMJ Case Rep. 2015 Dec 15;2015:bcr2015213628. doi: 10.1136/bcr-2015-213628.
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Anti-VEGF therapy in symptomatic peripheral exudative hemorrhagic chorioretinopathy (PEHCR) involving the macula.
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抗血管内皮生长因子疗法治疗累及黄斑的症状性周边渗出性出血性脉络膜视网膜病变(PEHCR)。
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