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[早产儿视网膜病变晚期所致视网膜脱离]

[Retinal detachment caused by late-stage retinopathy of prematurity].

作者信息

Vallat M, Mathon C, Van Coppenolle F, Detre J, Fritsch D, Clavel D, Moze M

出版信息

J Fr Ophtalmol. 1986;9(8-9):573-82.

PMID:3819331
Abstract

Retinal detachment occurring in late stages of retinopathy of prematurity may appear spontaneous when a short oxygen therapy in low birthweight infant has been failed to recognized. As it is initially a tractional detachment the understanding of underlying pathogenic mechanisms is still important to choose adequate treatment which will determine the success of the surgery. Six patients with R.D. were recognised as having late complication of R.P. on the aspect of pathological posterior retinal vasculature and typical history of prematurity and oxygen therapy. All cases were treated successfully by different procedures varying with the severity of the disease. Use of vitrectomy can be advised in some cases but, is still a dangerous procedure, especially in this peculiar condition.

摘要

早产视网膜病变晚期出现的视网膜脱离,若未识别出低体重儿曾进行过短期氧疗,可能看似是自发的。由于其最初是牵拉性视网膜脱离,了解潜在的致病机制对于选择适当的治疗方法仍很重要,而这将决定手术的成败。6例视网膜脱离患者,从病理性视网膜后血管系统以及早产和氧疗的典型病史来看,被认定为患有早产视网膜病变的晚期并发症。所有病例均根据疾病严重程度采用不同方法成功治疗。在某些情况下可建议使用玻璃体切除术,但这仍是一种危险的手术,尤其是在这种特殊情况下。

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