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冷冻治疗后的脉络膜新生血管形成

Choroidal neovascularization after cryoapplication.

作者信息

Theodossiadis G P

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1981;215(3):203-8. doi: 10.1007/BF00413152.

DOI:10.1007/BF00413152
PMID:6163370
Abstract

After sealing peripheral retinal tears in retinal detachment surgery by means of cryoapplications, neovascularization appeared, stemming from the choroidal circulation. This complication was noted in three cases of retinal detachment with tears in an area of latticelike degeneration. The neovascularization, clearly originating from the choroid, extended into the vitreous cavity through the chorioretinal scar created by the cryoapplication. Repeated attempts to destroy the neovascularization with argon laser applications proved unsuccessful. In the 4--6-year follow-up of the cases recurrent hemorrhages were observed. The etiology of the neovascularization remains unknown, but it is probably related to the presence of subretinal pigment epithelium neovascularization encountered in a high percentage of adults in the retinal periphery. The choroidal neovascularization described provides evidence that, in addition to xenon arc and argon laser applications, cryoapplication on the retina can also cause this rare complication.

摘要

在通过冷冻疗法封闭视网膜脱离手术中周边视网膜裂孔后,出现了源于脉络膜循环的新生血管形成。在三例伴有格子样变性区域裂孔的视网膜脱离病例中发现了这种并发症。新生血管明显起源于脉络膜,通过冷冻疗法造成的脉络膜视网膜瘢痕延伸至玻璃体腔。多次尝试用氩激光破坏新生血管均未成功。在对这些病例进行4至6年的随访中观察到了复发性出血。新生血管形成的病因尚不清楚,但可能与视网膜周边高比例成年人中出现的视网膜下色素上皮新生血管形成有关。所描述的脉络膜新生血管形成提供了证据,表明除了氙弧光和氩激光应用外,视网膜冷冻疗法也可导致这种罕见的并发症。

相似文献

1
Choroidal neovascularization after cryoapplication.冷冻治疗后的脉络膜新生血管形成
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1981;215(3):203-8. doi: 10.1007/BF00413152.
2
Retinal detachment treated by argon laser photocoagulation.氩激光光凝治疗视网膜脱离。
Mod Probl Ophthalmol. 1977;18:391-5.
3
Choroidal (subretinal) neovascularization secondary to choroidal nevus and successful treatment with argon laser photocoagulation. Case reports and review of literature.脉络膜痣继发脉络膜(视网膜下)新生血管形成及氩激光光凝成功治疗。病例报告及文献复习
Ophthalmologica. 1985;190(4):210-8. doi: 10.1159/000309520.
4
[Intraocular complications following Custodis-Lincoff operation].[ Custodis-Lincoff手术后的眼内并发症]
Arch Ophtalmol Rev Gen Ophtalmol. 1975 Aug-Sep;35(8-9):627-38.
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Serous retinal pigment epithelial detachment with a notch. A sign of occult choroidal neovascularization.伴有切迹的浆液性视网膜色素上皮脱离。隐匿性脉络膜新生血管的一个体征。
Retina. 1984 Fall-Winter;4(4):205-20. doi: 10.1097/00006982-198400440-00001.
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Complications of krypton red laser photocoagulation to subretinal neovascular membranes.氪红激光光凝治疗视网膜下新生血管膜的并发症
Ophthalmology. 1984 Dec;91(12):1587-91. doi: 10.1016/s0161-6420(84)34114-8.
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Translocation of the retina for management of subfoveal choroidal neovascularization II: a preliminary report in humans.视网膜移位术治疗黄斑下脉络膜新生血管化II:人体初步报告
Am J Ophthalmol. 1998 May;125(5):635-46. doi: 10.1016/s0002-9394(98)00018-x.
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[Scleral control of cryotherapy in the treatment of retinal detachment].巩膜冷凝术治疗视网膜脱离
Mod Probl Ophthalmol. 1977;18:376-9.
9
Choroidal detachment following retinal detachment surgery without drainage of subretinal fluid.视网膜脱离手术后未引流视网膜下液所致脉络膜脱离
Am J Ophthalmol. 1972 Jun;73(6):860-2. doi: 10.1016/0002-9394(72)90453-9.
10
Hemorrhagic detachment of the peripheral retinal pigment epithelium.周边视网膜色素上皮出血性脱离
Am J Optom Physiol Opt. 1985 Mar;62(3):161-4. doi: 10.1097/00006324-198503000-00002.

本文引用的文献

1
New vessel formation beneath the retinal pigment epithelium in senile eyes.老年眼中视网膜色素上皮下的新血管形成。
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Choroidal vascular involvement in Eales' disease.伊尔斯病中的脉络膜血管受累情况。
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A clinical study of the vascularity of senile disciform macular degeneration.老年性盘状黄斑变性血管状况的临床研究
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Choroido-vitreal neovascularization after argon laser photocoagulation.氩激光光凝术后脉络膜视网膜新生血管形成
Arch Ophthalmol. 1975 Jul;93(7):524-30. doi: 10.1001/archopht.1975.01010020540012.
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Neovascularization after argon laser photocoagulation of macular lesions.
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