Cohen Michael N, Jumper J Michael, Duker Jay S
Ophthalmic Surg Lasers Imaging Retina. 2021 Mar;52(3):165-167. doi: 10.3928/23258160-20210302-09. Epub 2021 Mar 1.
This is a case report detailing a pars plana vitrectomy and resection of a retinal capillary hemangioblastoma in a 19-year-old female with a history of von Hippel-Lindau syndrome with secondary retinal detachment and sub-retinal exudates limiting her vision. Intraoperatively, long duration endolaser and generous endodiathermy applied to the feeder vessels are essential to minimize bleeding. Complete and careful resection of the lesion and installation of a silicone oil tamponade are recommended. This technique can allow for retinal reattachment and improvement in visual acuity in advanced cases of secondary retinal detachment.
这是一份病例报告,详细介绍了一名19岁患有冯·希佩尔-林道综合征的女性患者,其因继发性视网膜脱离和视网膜下渗出物导致视力受限,接受了玻璃体切除术和平坦部视网膜毛细血管瘤切除术。术中,对供养血管进行长时间的眼内激光和充分的眼内透热疗法对于减少出血至关重要。建议完整、仔细地切除病变并注入硅油进行填塞。在继发性视网膜脱离的晚期病例中,该技术可使视网膜复位并提高视力。