Rüger A, Eichhorst A, Wienrich R, Siebolts U, Fiorentzis M
Universitätsklinikum Halle (Saale), Klinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
Universitätsklinikum Halle (Saale), Institut für Pathologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
Ophthalmologe. 2021 May;118(5):490-493. doi: 10.1007/s00347-020-01135-0.
An 89-year-old female presented with acute visual impairment and large cells in the vitreous cavity of the left eye. The patient was treated for a suspected intraocular lymphoma. In the follow-up a retinal detachment was diagnosed and treated via pars plana vitrectomy. A resection of the subretinal traction membrane following retinectomy was performed. The histological findings did not reveal any indications of a lymphoproliferative process. A ruptured choroidal neovascularization (CNV) with peripheral exudative hemorrhagic chorioretinopathy (PEHCR) and subretinal membrane formation was diagnosed. There were no signs of malignancy. The resection of a subretinal traction membrane poses a challenge for the vitreoretinal surgeon but can provide the possibility of visual improvement.
一名89岁女性因左眼玻璃体腔出现急性视力障碍和大细胞而就诊。该患者因疑似眼内淋巴瘤接受治疗。在随访中诊断出视网膜脱离,并通过玻璃体切除术进行了治疗。视网膜切除术后进行了视网膜下牵引膜切除术。组织学检查结果未显示任何淋巴增殖性病变的迹象。诊断为脉络膜新生血管破裂(CNV)伴周边渗出性出血性脉络膜视网膜病变(PEHCR)及视网膜下膜形成。未发现恶性肿瘤迹象。视网膜下牵引膜切除术对玻璃体视网膜外科医生来说是一项挑战,但有可能改善视力。