气栓致出血性杆菌层脱落。
PNEUMATIC DISPLACEMENT OF HEMORRHAGIC BACILLARY LAYER DETACHMENT.
机构信息
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Behavioral Health Department, Gundersen Health System, La Crosse, Wisconsin.
出版信息
Retin Cases Brief Rep. 2024 Sep 1;18(5):625-627. doi: 10.1097/ICB.0000000000001463.
PURPOSE
The purpose of this study was to describe the management of a hemorrhagic bacillary layer detachment (BALAD) in a patient with neovascular age-related macular degeneration.
METHODS
The clinical records and imaging were reviewed.
RESULTS
A 74-year-old woman presented with acute-onset hemorrhagic neovascular age-related macular degeneration with a large hemorrhagic BALAD. The intra-BALAD hemorrhage was amenable to displacement with SF 6 pneumatic displacement with subsequent VA recovery.
CONCLUSION
Sulfur hexafluoride (SF 6 ) pneumatic displacement in combination with aflibercept injection is a viable means by which to manage a hemorrhagic BALAD in the context of neovascular age-related macular degeneration. Displacement of large intra-BALAD hemorrhages can result in good visual recovery.
目的
本研究旨在描述一位新生血管性年龄相关性黄斑变性患者的出血性细菌层分离（BALAD）的处理方法。
方法
回顾了临床记录和影像学检查。
结果
一位 74 岁女性因急性出血性新生血管性年龄相关性黄斑变性伴大的出血性 BALAD 就诊。BALAD 内的出血可通过 SF6 气体膨胀移位来处理，随后 VA 得到恢复。
结论
在新生血管性年龄相关性黄斑变性的情况下，六氟化硫（SF6）气体膨胀移位联合阿柏西普注射是一种可行的治疗方法。对较大的 BALAD 内出血进行移位可导致良好的视力恢复。
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