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视网膜前膜剥除术治疗孤立性视网膜星形细胞瘤相关黄斑水肿

Epiretinal Membrane Peeling as the Treatment for Macular Edema Associated with Isolated Retinal Astrocytic Hamartoma.

作者信息

Cuadros Sánchez Carlos, de Luis Eguileor Beatriz, Sacristán Egüén Cristina, Arce Soto Ana, Martínez Alday Nerea

机构信息

Retina Unit, Department of Ophthalmology, Cruces University Hospital, Barakaldo, Vizcaya, Spain.

出版信息

J Curr Ophthalmol. 2022 Jan 6;33(4):496-498. doi: 10.4103/joco.joco_49_21. eCollection 2021 Oct-Dec.

Abstract

PURPOSE

To report a case of macular edema and an epiretinal membrane in an isolated astrocytic hamartoma treated surgically.

METHODS

Case report.

RESULTS

We describe the case of a 37-year-old woman whose first symptoms were blurred vision and metamorphopsia. Optical coherence tomography revealed macular edema together with an epiretinal membrane secondary to an isolated retinal astrocytic hamartoma. We performed a pars plana vitrectomy (PPV) with membrane peeling. Both visual and structural outcomes were satisfactory. Complete resolution of symptoms was obtained, and visual acuity was preserved after a 7-month follow-up.

CONCLUSION

Although rare, epiretinal membrane may be present in isolated retinal astrocytic hamartomas, PPV and epiretinal membrane peeling may be a good treatment option in glial tumors with macular edema associated with an epiretinal membrane.

摘要

目的

报告1例孤立性星形细胞错构瘤并发黄斑水肿和视网膜前膜并接受手术治疗的病例。

方法

病例报告。

结果

我们描述了1例37岁女性患者,其首发症状为视力模糊和视物变形。光学相干断层扫描显示黄斑水肿以及继发于孤立性视网膜星形细胞错构瘤的视网膜前膜。我们进行了玻璃体视网膜剥离术(PPV)并剥除视网膜前膜。视觉和结构结果均令人满意。症状完全缓解,随访7个月后视力得以保留。

结论

尽管罕见,但视网膜前膜可能存在于孤立性视网膜星形细胞错构瘤中,对于伴有视网膜前膜的黄斑水肿的神经胶质瘤,玻璃体视网膜剥离术和视网膜前膜剥除术可能是一种良好的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c8f/8772498/bd67d7a56ac1/JCO-33-496-g001.jpg

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