McDonald H R, Abrams G W, Burke J M, Neuwirth J
Am J Ophthalmol. 1985 Dec 15;100(6):806-13. doi: 10.1016/s0002-9394(14)73372-0.
Two patients (a 44-year-old woman and a 26-year-old man) with progressive visual loss associated with macular combined retinal-retinal pigment epithelial hamartomas underwent pars plana vitrectomies with peeling of macular epiretinal membranes. Histopathologic findings for one of the membranes were similar to those in idiopathic or other secondary epiretinal membranes. Although the epiretinal membranes were satisfactorily removed, visual acuity improved in neither eye. Fluorescein angiography showed persistence of vascular tortuosity and leakage and cystoid macular edema after surgery in both cases. One eye developed a late postoperative operculated retinal tear which was successfully treated with cryopexy. The role of vitrectomy and membrane removal in cases of macular combined retinal-retinal pigment epithelial hamartomas appears to be limited.
两名患有与黄斑部视网膜 - 视网膜色素上皮联合错构瘤相关的进行性视力丧失的患者（一名44岁女性和一名26岁男性）接受了玻璃体切割术并剥除黄斑部视网膜前膜。其中一层膜的组织病理学发现与特发性或其他继发性视网膜前膜相似。尽管视网膜前膜被满意地切除，但两只眼睛的视力均未改善。荧光素血管造影显示，两例术后均存在血管迂曲、渗漏以及黄斑囊样水肿。一只眼睛术后出现了晚期有盖视网膜裂孔，通过冷冻疗法成功治疗。玻璃体切割术和膜剥除术在黄斑部视网膜 - 视网膜色素上皮联合错构瘤病例中的作用似乎有限。
