Moinuddin Omar, Bonaffini Sarah, Besirli Cagri G
Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):242-246. doi: 10.3928/23258160-20190401-08.
Laser photocoagulation remains the standard of care for retinopathy of prematurity (ROP). Rarely, exudative retinal detachment (ERD) has been observed as a complication of laser treatment. The authors present the clinical course of an infant who developed severe, unilateral ERD after bilateral laser photocoagulation at 37 weeks postmenstrual age (PMA) for Type I ROP. The infant was managed with systemic and topical corticosteroids, and nearcomplete resolution of ERD was observed at 39 weeks. Continued follow-up until 62 weeks PMA with serial examination, fundus photography, and fluorescein angiography documented the time course of resolution and retinal sequelae of this rare complication. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:242-246.].
激光光凝术仍然是早产儿视网膜病变(ROP)的标准治疗方法。激光治疗的并发症中,渗出性视网膜脱离(ERD)较为罕见。本文作者报告了一例婴儿的临床病程,该婴儿在孕龄37周时因I型ROP接受双侧激光光凝术后发生了严重的单侧ERD。患儿接受了全身和局部皮质类固醇治疗,在孕龄39周时ERD几乎完全消退。持续随访至孕龄62周,通过系列检查、眼底照相和荧光素血管造影记录了这一罕见并发症的消退时间过程和视网膜后遗症。[《眼科手术、激光与视网膜成像》。2019;50:242 - 246。]