Grand M G, Burgess D B, Singerman L J, Ramsey J
Retina. 1984 Spring-Summer;4(2):84-9.
Treatment of subretinal neovascular membranes associated with choroidal osteomas is described. Early recognition of the membranes, aided by Amsler grid self-assessment, allowed initiation of photocoagulation treatment while the lesions were still extrafoveal. In one patient, initial treatment was performed with the argon green laser and subsequent treatments were applied with the krypton red laser. In two other patients, argon-laser photocoagulation alone was used to destroy subretinal neovascular membranes. Post-treatment evaluations in one patient demonstrated persistence of recurrence of neovascular tissue and allowed for prompt retreatment. Follow-up evaluations have shown that treatment resulted in persistent destruction of the subretinal neovascular membrane in two patients, with stabilization of vision at 20/25- and 20/100, respectively. In one patient, vision has been stable at 20/50 for 6 months; however, a recurrent subretinal neovascular membrane developed, encroaching through the fovea with resultant visual loss of 20/60.
本文描述了与脉络膜骨瘤相关的视网膜下新生血管膜的治疗方法。通过阿姆斯勒方格自我评估辅助早期识别这些膜，使得在病变仍位于黄斑中心凹外时即可开始光凝治疗。在一名患者中，最初使用氩绿激光进行治疗，随后使用氪红激光进行后续治疗。在另外两名患者中，仅使用氩激光光凝来破坏视网膜下新生血管膜。一名患者的治疗后评估显示新生血管组织持续复发，并得以迅速再次治疗。随访评估表明，治疗导致两名患者的视网膜下新生血管膜持续破坏，视力分别稳定在20/25和20/100。在一名患者中，视力在20/50稳定了6个月；然而，出现了复发性视网膜下新生血管膜，侵犯黄斑中心凹，导致视力下降至20/60。
