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[因严重视力损害行黄斑下牵引膜切除术:病例报告]

[Resection of a submacular traction membrane due to significant visual impairment : Case report].

作者信息

Rüger A, Eichhorst A, Wienrich R, Siebolts U, Fiorentzis M

机构信息

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.

出版信息

Ophthalmologe. 2021 May;118(5):490-493. doi: 10.1007/s00347-020-01135-0.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fd/8105207/34e4c3aa3986/347_2020_1135_Fig1_HTML.jpg

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