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伴有色素性视网膜炎的双侧新生血管性青光眼：一项临床挑战。

Bilateral Neovascular Glaucoma With Retinitis Pigmentosa: A Clinical Challenge.

作者信息

Cruz Rakhi D, Rao Aparna

机构信息

Glaucoma, L V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, IND.

出版信息

Cureus. 2022 Jun 13;14(6):e25915. doi: 10.7759/cureus.25915. eCollection 2022 Jun.

DOI:10.7759/cureus.25915
PMID:35844309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9282601/
Abstract

Retinitis pigmentosa (RP) and glaucoma are frequent associations. Masking of the underlying retinal ischemia is known to be caused by RP that may cause a clinical dilemma and treatment. We present a middle-aged healthy male presenting with bilateral refractory neovascular glaucoma (NVG) and classical RP with no evidence of posterior segment ischemia. The case highlights important points and tailored investigations to arrive at the final diagnosis and treatment for such challenging cases.

摘要

视网膜色素变性（RP）与青光眼常同时出现。已知RP可掩盖潜在的视网膜缺血，这可能导致临床困境及治疗难题。我们报告一例中年健康男性，患有双侧难治性新生血管性青光眼（NVG）及典型的RP，无后段缺血证据。该病例突出了重要要点及针对性检查，以对这类具有挑战性的病例做出最终诊断及治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab70/9282601/e12b0c27fc3b/cureus-0014-00000025915-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab70/9282601/227e4fdaac2b/cureus-0014-00000025915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab70/9282601/e12b0c27fc3b/cureus-0014-00000025915-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab70/9282601/227e4fdaac2b/cureus-0014-00000025915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab70/9282601/e12b0c27fc3b/cureus-0014-00000025915-i02.jpg

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本文引用的文献

1
Unusual Association of Inverse Retinitis Pigmentosa, Scleromalacia, and Neovascular Glaucoma.异常性视网膜色素变性、巩膜软化症和新生血管性青光眼的关联。
Turk J Ophthalmol. 2020 Apr 29;50(2):110-114. doi: 10.4274/tjo.galenos.2020.07573.
2
Type 3 Neovascularization Associated with Retinitis Pigmentosa.与色素性视网膜炎相关的3型新生血管形成
Case Rep Ophthalmol. 2017 Apr 10;8(1):245-249. doi: 10.1159/000471790. eCollection 2017 Jan-Apr.
3
Ischemic central retinal vein occlusion and retinitis pigmentosa: lower risk of neovascularization?
缺血性视网膜中央静脉阻塞与色素性视网膜炎：新生血管形成风险较低？
Retina. 2001;21(2):179-80. doi: 10.1097/00006982-200104000-00015.
4
Retinitis pigmentosa associated with peripheral sea fan neovascularization.与周边海扇状新生血管相关的色素性视网膜炎。
Acta Ophthalmol Scand. 2000 Oct;78(5):593-5. doi: 10.1034/j.1600-0420.2000.078005593.x.
5
Retinitis pigmentosa and retinal neovascularization: a case report.色素性视网膜炎与视网膜新生血管形成：一例报告
Ann Ophthalmol. 1984 Sep;16(9):861, 863-5.
6
Coats' type retinitis pigmentosa and subretinal neovascularisation in a patient with renal failure.一名肾衰竭患者的科茨型视网膜色素变性和视网膜下新生血管形成
Lancet. 1989 Dec 9;2(8676):1401. doi: 10.1016/s0140-6736(89)92017-5.
7
Retinitis pigmentosa and retinal neovascularization.视网膜色素变性与视网膜新生血管形成。
Ophthalmology. 1986 Dec;93(12):1599-603. doi: 10.1016/s0161-6420(86)33539-5.
8
Neovascularization of the optic disk associated with atypical retinitis pigmentosa.与非典型色素性视网膜炎相关的视盘新生血管形成。
Am J Ophthalmol. 1985 Sep 15;100(3):431-3. doi: 10.1016/0002-9394(85)90507-0.