视网膜和视网膜色素上皮联合错构瘤所致牵引性视网膜脱离的玻璃体切除术
Vitrectomy for Tractional Retinal Detachment Due to Combined Hamartoma of the Retina and Retinal Pigment Epithelium.
作者信息
Holekamp Katherine E, Holekamp Nancy M
机构信息
John Burroughs School, St Louis, MO, USA.
Pepose Vision Institute, Chesterfield, MO, USA.
出版信息
J Vitreoretin Dis. 2020 Dec 7;5(4):362-365. doi: 10.1177/2474126420972559. eCollection 2021 Jul-Aug.
PURPOSE
We discuss a peripheral combined hamartoma of the retina and retinal pigment epithelium (CHRRPE) with a macula-involving TRD that was repaired by vitrectomy surgery.
METHODS
A case report is presented.
RESULTS
A 15-year-old white girl with no significant medical or ocular history presented to the retina clinic with a 1-month history of progressive loss of inferior visual field in the right eye. A large, elevated CHRRPE was found in the superior midperipheral retina. On involvement of the macula, urgent vitrectomy surgery with peeling of the cortical vitreous membrane to the margins of the hamartoma was performed. Eighteen months later, vision had returned to 20/16 and the retina, relieved of traction, continued to reattach with trace remaining cystic changes at the fovea on optical coherence tomography.
CONCLUSIONS
Physicians should consider vitrectomy surgery with membrane peeling of the cortical vitreous for TRD due to CHRRPE.
目的
我们讨论一例视网膜和视网膜色素上皮联合错构瘤（CHRRPE）合并累及黄斑的牵引性视网膜脱离（TRD），该病例通过玻璃体切除术得以修复。
方法
呈现一例病例报告。
结果
一名15岁白人女孩，无重大内科或眼科病史，因右眼下方视野进行性丧失1个月就诊于视网膜诊所。在视网膜中外上方发现一个大的、隆起的CHRRPE。当黄斑受累时，进行了紧急玻璃体切除术，将皮质玻璃体膜剥除至错构瘤边缘。18个月后，视力恢复到20/16，视网膜解除牵引，继续复位，光学相干断层扫描显示黄斑区仍有微量残留囊性改变。
结论
对于因CHRRPE导致的TRD，医生应考虑行皮质玻璃体膜剥除的玻璃体切除术。
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