Thanos Aristomenis, Ozturk Taylan, Faia Lisa J, Capone Antonio
Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):238-241. doi: 10.3928/23258160-20190401-07.
The authors present an interventional case report of a patient with von Hippel-Lindau (VHL) syndrome who developed simultaneous exudative and combined tractional, rhegmatogenous, and exudative retinal detachment (RD) in the right and left eyes, respectively, following uneventful cryotherapy application of retinal capillary hemangioblastoma (RCH). After pars plana vitrectomy combined with encircling scleral buckling with radial element placement and silicone oil injection, complete retinal reattachment was achieved. The exudative RD of the fellow eye was managed initially with intense topical corticosteroid treatment and subsequent placement of a radial scleral buckle due to the presence of clinically apparent traction. Both eyes remained stable after successful surgical interventions, and long-term follow-up revealed no evidence of recurrent disease. The authors conclude that rapid worsening of vitreoretinal traction and exudation are complications that can occur after treatment of RCH in patients with VHL syndrome leading to complex retinal detachments. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:238-241.].
作者介绍了一例患有冯·希佩尔-林道（VHL）综合征患者的介入病例报告。该患者在视网膜毛细血管瘤（RCH）进行了顺利的冷冻治疗后，右眼出现渗出性视网膜脱离，左眼同时出现牵拉性、孔源性和渗出性混合性视网膜脱离（RD）。在进行了玻璃体切除联合环扎巩膜扣带术并放置放射状元件及硅油注入后，视网膜完全复位。对侧眼的渗出性视网膜脱离最初采用强效局部皮质类固醇治疗，随后因存在明显的临床牵拉而放置放射状巩膜扣带。成功的手术干预后，双眼均保持稳定，长期随访未发现疾病复发迹象。作者得出结论，玻璃体视网膜牵拉和渗出的快速恶化是VHL综合征患者在RCH治疗后可能出现的并发症，可导致复杂的视网膜脱离。[《眼科手术、激光与影像学杂志》。2019年；50:238 - 241。]
