两例视网膜色素变性患者在玻璃体视网膜手术后很长时间出现严重视网膜萎缩。
Two cases with retinitis pigmentosa that developed severe retinal atrophy long after vitreo-retinal surgery.
作者信息
Miura Gen, Baba Takayuki, Yamamoto Shuichi
机构信息
Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.
出版信息
Am J Ophthalmol Case Rep. 2020 Apr 29;18:100716. doi: 10.1016/j.ajoc.2020.100716. eCollection 2020 Jun.
PURPOSE
To report two cases with retinitis pigmentosa (RP) who underwent vitreo-retinal surgery and developed severe retinal atrophy.
OBSERVATIONS
Case 1 was a 36-year old man who underwent 20-gauge pars plana vitrectomy (PPV) for a macular hole (MH), and Case 2 was a 71-year-old man who also underwent 20-gauge PPV for an epiretinal membrane (ERM). During 13 years follow-up period, severe retinal atrophy developed near the macula that progressed rapidly and the best-corrected visual acuity (BCVA) was reduced to 1.1 logarithm of the minimum angle of resolution (logMAR) units in the MH case and to no light perception in the ERM case.
CONCLUSIONS AND IMPORTANCE
An unexpected severe retinal atrophy can develop long after vitreo-retinal surgery in RP patients.
目的
报告两例患有视网膜色素变性（RP）的患者，他们接受了玻璃体视网膜手术并出现了严重的视网膜萎缩。
观察结果
病例1是一名36岁男性，因黄斑裂孔（MH）接受了20G玻璃体切割术（PPV），病例2是一名71岁男性，因视网膜前膜（ERM）也接受了20G PPV。在13年的随访期内，黄斑附近出现了严重的视网膜萎缩，且进展迅速，在MH病例中，最佳矫正视力（BCVA）降至1.1最小分辨角对数（logMAR）单位，在ERM病例中降至无光感。
结论与重要性
RP患者在玻璃体视网膜手术后很长时间可能会出现意外的严重视网膜萎缩。
Zotero 插件