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一名患有华氏巨球蛋白血症患者的牵拉性视网膜脱离

Tractional Retinal Detachment in a Patient With Waldenström's Macroglobulinemia.

作者信息

Tsiogka Anastasia, Karamaounas Aristotelis, Papakonstantinou Evangelia, Petrou Petros

机构信息

Ophthalmology, 401 General Military Hospital, Athens, GRC.

Ophthalmology, "G. Gennimatas" General Hospital of Athens, Athens, GRC.

出版信息

Cureus. 2021 Jan 2;13(1):e12430. doi: 10.7759/cureus.12430.

DOI:10.7759/cureus.12430
PMID:33542877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7849914/
Abstract

An 86-year-old man with Waldenström's macroglobulinemia and a history of acute retinal necrosis (four years ago) presented with reduced visual acuity in his right eye of three days' duration. He developed epiretinal membrane and tractional retinal detachment, which were treated successfully. Epiretinal membrane and tractional retinal detachment usually occur one to two months after the onset of retinitis. In our case, this happened four years after the diagnosis of acute retinal necrosis syndrome, prophylactic vitrectomy, and successful treatment of acute retinal necrosis syndrome in a patient with Waldenström's macroglobulinemia.

摘要

一名86岁患有华氏巨球蛋白血症且有急性视网膜坏死病史(四年前)的男性,出现右眼视力下降三天。他发生了视网膜前膜和牵拉性视网膜脱离,并得到了成功治疗。视网膜前膜和牵拉性视网膜脱离通常在视网膜炎发作后一到两个月出现。在我们这个病例中,这种情况发生在华氏巨球蛋白血症患者诊断急性视网膜坏死综合征、进行预防性玻璃体切割术以及成功治疗急性视网膜坏死综合征四年之后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f4/7849914/67b7808c087f/cureus-0013-00000012430-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f4/7849914/67b7808c087f/cureus-0013-00000012430-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f4/7849914/67b7808c087f/cureus-0013-00000012430-i01.jpg

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本文引用的文献

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Am J Ophthalmol. 2019 Oct;206:140-148. doi: 10.1016/j.ajo.2019.05.023. Epub 2019 Jun 3.
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Rate of Retinal Detachment after Early Prophylactic Vitrectomy for Acute Retinal Necrosis.急性视网膜坏死早期预防性玻璃体切割术后视网膜脱离的发生率。
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华氏巨球蛋白血症:2013 年诊断、风险分层和治疗的更新。
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