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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。

相似文献

1
[Retinal detachment caused by late-stage retinopathy of prematurity].[早产儿视网膜病变晚期所致视网膜脱离]
J Fr Ophtalmol. 1986;9(8-9):573-82.
2
Surgical approaches to retinal detachment in retinopathy of prematurity.
Birth Defects Orig Artic Ser. 1988;24(1):265-74.
3
[Pars plana vitrectomy in retinopathy of prematurity].
Cesk Slov Oftalmol. 2001 Nov;57(6):387-94.
4
[Retinal detachment in the eyes with retinopathy of prematurity].
Klin Oczna. 1991 Oct-Nov;93(10-11):297-8.
5
[Surgical treatment of late tractional retinal detachment appearing on the basis of retinopathy of prematurity].
Cesk Slov Oftalmol. 2005 May;61(3):185-91.
6
Lensectomy and vitrectomy with and without intravitreal triamcinolone acetonide for vascularly active stage 5 retinal detachments in retinopathy of prematurity.对于早产儿视网膜病变血管活跃期5期视网膜脱离,行晶状体切除术和玻璃体切除术,术中使用或不使用玻璃体内注射曲安奈德。
Retina. 2006 Sep;26(7):736-40. doi: 10.1097/01.iae.0000244257.60524.89.
7
[Retinopathy of prematurity and retinal detachment].早产儿视网膜病变与视网膜脱离
Klin Oczna. 1993 Jan;95(1):14-6.
8
[Retinal detachment in young patients].[年轻患者的视网膜脱离]
J Fr Ophtalmol. 1994;17(6-7):388-93.
9
[Treatment of retinal detachment of the course of retinopathy of prematurity].[早产儿视网膜病变病程中视网膜脱离的治疗]
Klin Oczna. 2003;105(5):322-5.
10
Late recurrence of retinal detachment following successful vitreous surgery for stages 4B and 5 retinopathy of prematurity.针对4B期和5期早产儿视网膜病变进行玻璃体手术成功后视网膜脱离的晚期复发
Am J Ophthalmol. 2009 Apr;147(4):661-666.e1. doi: 10.1016/j.ajo.2008.10.006. Epub 2009 Jan 18.

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