特发性黄斑视网膜劈裂患者行白内障手术安全吗？
IS CATARACT SURGERY SAFE IN PATIENTS WITH STELLATE NONHEREDITARY IDIOPATHIC FOVEOMACULAR RETINOSCHISIS?
机构信息
Department of Ophthalmology, Hôpital Bicêtre, APHP, Université Paris-Saclay, Réseau Maladies Rares en Ophtalmologie (OPHTARA), Paris, France.
出版信息
Retin Cases Brief Rep. 2023 Nov 1;17(6):719-722. doi: 10.1097/ICB.0000000000001270.
PURPOSE
To assess the retinal modifications after cataract surgery in a patient presenting with stellate nonhereditary idiopathic foveomacular retinoschisis.
METHODS
Retrospective analysis of the evolution of retinal status in a 64-year-old patient with unilateral stellate nonhereditary idiopathic foveomacular retinoschisis who underwent cataract surgery in the affected eye.
RESULTS
Visual acuity improved after surgery, reaching back the level described by the patient before the cataract onset, whereas fundus retinographies and optical coherence tomographies were stable at one month after surgery, compared with the preoperative images.
DISCUSSION
This first case-report of the evolution of stellate nonhereditary idiopathic foveomacular retinoschisis after cataract surgery suggests that this retinal condition is not modified by the surgical procedure, which however needs to confirmed by larger cohorts.
目的
评估患有星状非遗传性特发性黄斑部视网膜劈裂的患者在白内障手术后的视网膜改变。
方法
回顾性分析 64 岁单侧星状非遗传性特发性黄斑部视网膜劈裂患者的视网膜状态演变，该患者在受影响的眼中接受了白内障手术。
结果
手术后视力提高，恢复到患者白内障发病前描述的水平，而眼底视网膜照相和光学相干断层扫描在手术后一个月与术前图像相比稳定。
讨论
这是首例白内障手术后星状非遗传性特发性黄斑部视网膜劈裂的病例报告，表明这种视网膜状况不受手术过程的影响，但需要更大的队列来证实。
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