一名II型糖尿病患者牵引性视网膜脱离的自发消退
Spontaneous Resolution of Tractional Retinal Detachment in a Type II Diabetic Patient.
作者信息
Kandari Fahad A, Albahlal Abdullah A, Algethami Rahma A
机构信息
Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, SAU.
Ophthalmology, King Faisal Specialist Hospital & Research Center, Riyadh, SAU.
出版信息
Cureus. 2023 Apr 23;15(4):e38010. doi: 10.7759/cureus.38010. eCollection 2023 Apr.
A 43 years old male with diabetes type II was under treatment for diabetic retinopathy with extramacular tractional retinal detachment (TRD) in the left eye OS. During the follow-up visit, the patient had a drop in vision from 20/25 to 20/60. The TRD was found to have progressed to involve the macula and was threatening the fovea; therefore, vitrectomy was thought to be inevitable. Meanwhile, the patient adopted exercise and tight glycemic control, and during the preoperative evaluation of three months duration, we observed resolution of traction and return of visual acuity to baseline (20/20). In conclusion, spontaneous resolution of TRD is extremely rare. If it occurs, the patient may be spared from undergoing a vitrectomy.
一名43岁的II型糖尿病男性患者正在接受糖尿病视网膜病变治疗，其左眼存在黄斑外牵拉性视网膜脱离（TRD）。在随访期间，患者视力从20/25下降至20/60。发现TRD已进展至累及黄斑并威胁到中央凹；因此，玻璃体切除术被认为是不可避免的。与此同时，患者采取了运动和严格的血糖控制措施，在为期三个月的术前评估期间，我们观察到牵拉解除且视力恢复至基线水平（20/20）。总之，TRD的自发缓解极为罕见。如果发生这种情况，患者可能无需接受玻璃体切除术。
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