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湿性年龄相关性黄斑变性所致急性视网膜下出血引起的全层黄斑裂孔

Full-Thickness Macular Hole Caused by Acute Subretinal Hemorrhage From Wet Age-Related Macular Degeneration.

作者信息

Gupta Mrinali, Lean John

机构信息

Retina Associates of Orange County, Laguna Hills, CA, USA.

出版信息

J Vitreoretin Dis. 2023 Oct 18;8(1):82-85. doi: 10.1177/24741264231206281. eCollection 2024 Jan-Feb.

DOI:10.1177/24741264231206281
PMID:38223780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10786074/
Abstract

To present a case of full-thickness macular hole (MH) that developed in association with acute subretinal hemorrhage from wet age-related macular degeneration (AMD). A retrospective observational review of a single case was performed. An 84-year-old man with wet AMD presented with central vision loss and floaters and was noted to have a subretinal hemorrhage and an associated MH, which subsequently progressed to MH-associated macular detachment. The patient had a pars plana vitrectomy with internal limiting membrane peeling, gas tamponade, and prone positioning, resulting in closure of the MH and improvement in visual acuity. A full-thickness MH developed as a result of foveal dehiscence from an acute hemorrhage caused by choroidal neovascularization in wet AMD.

摘要

报告一例与湿性年龄相关性黄斑变性（AMD）所致急性视网膜下出血相关的全层黄斑裂孔（MH）病例。对该单病例进行回顾性观察性分析。一名84岁患有湿性AMD的男性患者出现中心视力丧失和飞蚊症，检查发现有视网膜下出血及相关的MH，随后进展为与MH相关的黄斑脱离。该患者接受了玻璃体切割联合内界膜剥除、气体填充及俯卧位治疗，MH闭合，视力改善。湿性AMD中脉络膜新生血管导致的急性出血引起黄斑裂孔，进而发展为全层MH。

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