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视神经缺损合并犬单侧局限性浆液性视网膜脱离 - 激光视网膜光凝术后的活体成像和结果。

Optic nerve colobomas associated with unilateral focal serous retinal detachment in a dog - In-vivo imaging and outcome following laser retinopexy.

机构信息

Section of Ophthalmology and Division of Experimental Retinal Therapies, Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

The Seeing Eye Inc, Morristown, New Jersey, USA.

出版信息

Vet Ophthalmol. 2021 Nov;24(6):645-652. doi: 10.1111/vop.12948. Epub 2021 Oct 28.

Abstract

PURPOSE

To describe the ophthalmoscopic, in-vivo imaging, fluorescein angiography, and therapeutic photocoagulation outcome in a case of bilateral optic nerve colobomas associated with focal unilateral retinal detachment in a dog.

METHODS

Pretraining eye examination of a 1.6-year-old female German shepherd service dog showed a focal juxta-papillary bullous retinal separation in the right eye. In vivo imaging and angiography were performed under general anesthesia using optical coherence tomography. Nonoverlapping diode laser burns were applied through an operating microscope adapter to selected areas along the leading margins of the detachment.

RESULTS

The funduscopic examination and in-vivo imaging revealed bilateral optic nerve colobomas associated with a focal bullous detachment in the right eye. Fluorescein angiography showed absence of blood vessel leakage and absence of staining inside of the retinal elevation. Photocoagulation induced immediate changes in retinal layer reflectivity. Three months post-photocoagulation, the retinal detachment had improved and scarring of the burns was visible. One and two years post-procedure, the retinal detachment resolved.

CONCLUSIONS

Optical coherence tomography (OCT) imaging provides a detailed analysis of the retinal abnormalities associated with the clinical lesion. Laser retinopexy is a valid therapeutic option to limit the extension of the detachment.

摘要

目的

描述一只双眼视盘缺损合并单侧局限性视网膜脱离犬的眼底镜、活体成像、荧光素血管造影和光凝治疗结果。

方法

一只 1.6 岁雌性德国牧羊犬服务犬行术前眼部检查发现右眼视盘旁局限性泡状视网膜脱离。全身麻醉下行活体成像和血管造影,应用光学相干断层扫描。通过手术显微镜适配器对脱离的前沿选择区域行非重叠二极管激光光凝。

结果

眼底镜和活体成像检查发现双眼视盘缺损合并右眼局限性泡状视网膜脱离。荧光素血管造影显示无血管渗漏和视网膜隆起内无染色。光凝即刻改变视网膜层反射。光凝后 3 个月,视网膜脱离改善,可见光凝斑的瘢痕。术后 1 年和 2 年,视网膜脱离完全复位。

结论

光学相干断层扫描(OCT)成像可详细分析与临床病变相关的视网膜异常。激光视网膜光凝术是限制脱离扩展的有效治疗选择。

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Diagnostic ophthalmology.诊断眼科学
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