一例黄斑手术后医源性脉络膜新生血管病例。
A case of iatrogenic CNV following macular surgery.
作者信息
Agnihotri Akshay Prashant, Nagel Ines D, Heinke Anna, Koretz Zachary A, Freeman William R
机构信息
Jacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA.
Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USA.
出版信息
Am J Ophthalmol Case Rep. 2025 Jan 30;37:102263. doi: 10.1016/j.ajoc.2025.102263. eCollection 2025 Mar.
PURPOSE
To report a case of iatrogenic trauma related choroidal neovascularization (CNV).
METHODS
A 66 year old female presented with complaints of distortion of vision in the right eye. A diagnosis of epiretinal membrane (ERM) foveoschisis was made and the patient was recommended surgery. During surgery an inadvertent touch of the retina occurred. Post operatively, an iatrogenic choroidal neovascular membrane was diagnosed.
RESULTS
Post-operative optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) revealed a CNV which was treated with intravitreal Bevacizumab. The visual acuity improved remarkably. The intraretinal and subretinal fluid resolved and the macula was almost completely dry at final visit.
CONCLUSION
ERM surgery is one of the common procedures in vitreoretinal surgery. Iatrogenic CNV is a reported but rare complication following inadvertent trauma during surgery. We report a successful outcome of iatrogenic CNV treated with intravitreal injections of Bevacizumab.
目的
报告一例与医源性创伤相关的脉络膜新生血管（CNV）病例。
方法
一名66岁女性因右眼视力变形前来就诊。诊断为视网膜前膜（ERM）性黄斑劈裂，建议患者进行手术。手术过程中意外触碰了视网膜。术后诊断为医源性脉络膜新生血管膜。
结果
术后光学相干断层扫描（OCT）和光学相干断层扫描血管造影（OCTA）显示有CNV，采用玻璃体内注射贝伐单抗进行治疗。视力显著改善。视网膜内和视网膜下液消退，最后一次就诊时黄斑几乎完全干燥。
结论
ERM手术是玻璃体视网膜手术中的常见手术之一。医源性CNV是手术中意外创伤后报道的一种罕见并发症。我们报告了玻璃体内注射贝伐单抗治疗医源性CNV的成功结果。
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