Gross J G, King L P, de Juan E, Powers T
Carolina Retinal Center, Columbia, SC 29223, USA.
Ophthalmology. 1996 Apr;103(4):579-85. doi: 10.1016/s0161-6420(96)30650-7.
To describe the clinical outcomes of patients undergoing pars plana vitrectomy to remove subretinal neovascular membranes caused by traumatic choroidal ruptures.
Three patients with traumatic choroidal rupture in whom subfoveal choroidal neovascularization developed underwent pars plana vitrectomy with surgical excision of the neovascular membrane. Surgical specimens were examined histopathologically in two patients.
The choroidal neovascularization was removed completely in each patient. Visual results were excellent with visual acuities improving to 20/30 or better in each patient. Recurrence of choroidal neovascularization has not been observed. Fibrovascular membranes with reactive retinal pigment epithelium were observed in two specimens examined histopathologically.
Surgical removal of subretinal neovascular membranes emanating from traumatic choroidal ruptures produced an excellent visual outcome in three patients studied. The neovascular membranes, which were removed with minor disturbance to the underlying pigment epithelium, have similar characteristics to those obtained from patients with ocular histoplasmosis syndrome.
描述接受玻璃体切除术以切除外伤性脉络膜破裂所致视网膜下新生血管膜的患者的临床结局。
3例发生外伤性脉络膜破裂并出现黄斑下脉络膜新生血管化的患者接受了玻璃体切除术，并手术切除新生血管膜。对2例患者的手术标本进行了组织病理学检查。
每位患者的脉络膜新生血管均被完全切除。视力结果良好，每位患者的视力均提高到20/30或更好。未观察到脉络膜新生血管复发。在2例接受组织病理学检查的标本中观察到伴有反应性视网膜色素上皮的纤维血管膜。
在所研究的3例患者中，手术切除外伤性脉络膜破裂产生的视网膜下新生血管膜取得了良好的视力结果。这些新生血管膜在对下方色素上皮造成轻微干扰的情况下被切除，其特征与眼组织胞浆菌病综合征患者的新生血管膜相似。
