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双眼近视性脉络膜新生血管膜(CNVMs):一例报告

Double Myopic Choroidal Neovascular Membranes (CNVMs): A Case Report.

作者信息

Perente Asli, Giannoukaki Aikaterini, Dardabounis Doukas, Rotsos Tryfon, Labiris Georgios

机构信息

Ophthalmology Department, University Hospital of Alexandroupolis, Alexandroupolis, GRC.

出版信息

Cureus. 2025 Jun 22;17(6):e86567. doi: 10.7759/cureus.86567. eCollection 2025 Jun.

Abstract

Myopic choroidal neovascularization (CNV) is the most common cause of visual morbidity in patients with pathologic myopia (PM). Early diagnosis and management are crucial to prevent permanent loss of central vision. Optical coherence tomography (OCT) and OCT angiography (OCT-A) are the key diagnostic modalities for identifying and monitoring this vision-threatening complication. We report an unusual case of a female patient with two myopic CNVs in the same eye, clearly depicted using OCT-A and successfully managed with anti-vascular endothelial growth factor (anti-VEGF) injections. This rare instance warrants further study to draw more definite conclusions regarding this common complication and its response to treatment.

摘要

近视性脉络膜新生血管(CNV)是病理性近视(PM)患者视力损害的最常见原因。早期诊断和治疗对于预防中心视力的永久性丧失至关重要。光学相干断层扫描(OCT)和OCT血管造影(OCT-A)是识别和监测这种威胁视力并发症的关键诊断方法。我们报告了一例不寻常的病例,一名女性患者同一只眼睛中有两个近视性CNV,通过OCT-A清晰显示,并通过抗血管内皮生长因子(抗VEGF)注射成功治疗。这一罕见病例值得进一步研究,以便就这种常见并发症及其治疗反应得出更明确的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fba/12284380/3663d679cffe/cureus-0017-00000086567-i01.jpg

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