与视乳头周围葡萄肿中视盘凹陷相关的视网膜脱离和视网膜劈裂
Retinal detachment and retinoschisis associated with optic disc pit in peripapillary staphyloma.
作者信息
Okano Kana, Ishida Tomoka, Inoue Makoto, Hirakata Akito
机构信息
Department of Ophthalmology, Kyorin University, Tokyo, Japan.
出版信息
Am J Ophthalmol Case Rep. 2022 Mar 4;26:101468. doi: 10.1016/j.ajoc.2022.101468. eCollection 2022 Jun.
PURPOSE
To determine the characteristics and clinical course of an eye with a peripapillary staphyloma and an optic disc pit associated with a retinal detachment (RD) and retinoschisis.
OBSERVATIONS
A 44-year-old woman had a peripapillary staphyloma with a shallow RD and retinoschisis in her right eye. The optic disc was located in the peripapillary staphyloma with steep walls, and an optic disc pit was located on the temporal area of the optic disc cup. Optical coherence tomography (OCT) revealed a separation of the lamina cribrosa, herniated retinal tissue, and a subarachnoid space corresponding to the optic disc pit. Pars plana vitrectomy with laser photocoagulation around the temporal margin of the peripapillary staphyloma was performed to treat the RD, and the treatment was successful.
CONCLUSION AND IMPORTANCE
Clinicians should be aware that eyes with a RD and retinoschisis associated with a deep peripapillary staphyloma and an optic disc pit exist. The RD and retinoschisis can be successfully treated by vitrectomy.
目的
确定伴有视盘周围葡萄肿及与视网膜脱离（RD）和视网膜劈裂相关的视盘小凹的眼睛的特征及临床病程。
观察结果
一名44岁女性右眼患有视盘周围葡萄肿，伴有浅视网膜脱离和视网膜劈裂。视盘位于视盘周围葡萄肿内，壁陡峭，视盘小凹位于视盘杯颞侧区域。光学相干断层扫描（OCT）显示筛板分离、视网膜组织疝出以及与视盘小凹对应的蛛网膜下腔。为治疗视网膜脱离，对视盘周围葡萄肿颞侧边缘进行了玻璃体切除术联合激光光凝，治疗成功。
结论及重要性
临床医生应意识到存在伴有视盘周围深部葡萄肿及视盘小凹的视网膜脱离和视网膜劈裂的眼睛。视网膜脱离和视网膜劈裂可通过玻璃体切除术成功治疗。
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