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[周边渗出性出血性脉络膜视网膜病变:诊断与治疗]

[PEHCR-Peripheral exudative hemorrhagic chorioretinopathy: Diagnosis and treatment].

作者信息

Arda Helin, Haritoglou Christos

机构信息

Augenklinik Herzog Carl Theodor, Nymphenburger Str. 43, 80335, München, Deutschland.

出版信息

Ophthalmologie. 2022 Aug;119(8):868-871. doi: 10.1007/s00347-022-01658-8. Epub 2022 May 31.

Abstract

Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is a rare degenerative chorioretinal disease with subretinal or subepithelial hemorrhage and exudation in the fundus periphery in older patients. Even though it is the second most common entity among pseudomelanomas and its characteristic features simplify diagnosis, PEHCR is often not recognized and therefore misdiagnosed. In most cases stabilization or regression spontaneously occur. Therefore, treatment for PEHCR should be cautiously selected when function is good and surgical intervention should be preferably considered when visual loss is imminent.

摘要

周边渗出性出血性脉络膜视网膜病变(PEHCR)是一种罕见的退行性脉络膜视网膜疾病,多见于老年患者,眼底周边部出现视网膜下或上皮下出血及渗出。尽管它是假性黑色素瘤中第二常见的类型,其特征有助于诊断,但PEHCR常常未被识别,因此被误诊。在大多数情况下,病情会自发稳定或好转。因此,当视功能良好时,应谨慎选择PEHCR的治疗方法;当视力即将丧失时,最好考虑手术干预。

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