Smt. Kanuri Santhamma Centre for Vitreoretinal Diseases, LV Prasad Eye Institute, Banjara Hills Hyderabad India.
Rom J Ophthalmol. 2020 Jul-Sep;64(3):299-301.
A 35-year-old male smoker presented with reduced vision in OD for the previous two years. He reported a further drop in the vision for the previous two weeks after he underwent focal laser elsewhere. Clinical examination and multimodal imaging confirmed a giant tear of the retinal pigment epithelium (RPE) and a focal leak of CSCR. He was managed with the focal laser to the active leak and lifestyle modification. The ocular condition remained stable. RPE rips in CSCR have been reported to occur spontaneously or with an intervention like exogenous use of steroids, or photodynamic therapy (PDT). This case highlighted the fact that focal laser can precipitate RPE rip in a case of CSCR with tense bullous PED. The physician should keep this fact in mind while counselling the patient before a laser procedure and suspect an RPE rip in a patient with CSCR who presents with an acute onset of vision loss.
一位 35 岁男性吸烟者，两年前出现右眼视力下降，两周前在他处接受局部激光治疗后视力进一步下降。临床检查和多模态成像证实为视网膜色素上皮（RPE）大裂孔和特发性脉络膜新生血管（CSCR）局限性渗漏。他接受了局部激光治疗以封闭活跃渗漏，并进行生活方式调整。眼部状况保持稳定。CSCR 中的 RPE 撕裂可自发发生，也可因外源性使用类固醇或光动力疗法（PDT）等干预而发生。本例强调了这样一个事实，即在伴有紧张性大疱性 PED 的 CSCR 中，局部激光可引发 RPE 撕裂。在激光治疗前为患者提供咨询时，医生应牢记这一事实，并怀疑 CSCR 患者出现视力急性下降时发生了 RPE 撕裂。
