Hotta K, Hirakata A, Shinoda K, Miki D, Hida T
Department of Ophthalmology, Kyorin University School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Mar;102(3):207-14.
We reviewed 6 eyes of 6 patients (1 male and 5 females) with retinal detachment associated with choroidal coloboma. Three of these 6 eyes had visible retinal breaks within or at the margin of the coloboma. In one eye, no retinal breaks were noted before or during vitreous surgery, and shallow retinal detachment was localized in the posterior fundus. One eye with bullous retinal detachment with retinal breaks within the coloboma had been having serous retinal detachment localized in the nasal area close to the optic nerve head. In all of these five eyes; vitrectomy, relaxing retinotomy inside the coloboma close to its edges, and cyanoacrylate retinopexy resulted in successful reattachment of the retina. Schisis-like separation similar to that in pit-macular syndrome was noted in the posterior retinal in one eye which had no visible retinal break. Non-rhegmatogenous retinal detachment may exist in association with choroidal colobomas.
我们回顾了6例(1例男性和5例女性)伴有脉络膜缺损的视网膜脱离患者的6只眼。这6只眼中有3只在缺损区内或边缘处可见视网膜裂孔。在1只眼中,玻璃体手术前及手术过程中均未发现视网膜裂孔,浅视网膜脱离局限于眼底后部。1只眼有巨大视网膜脱离,裂孔位于缺损区内,之前浆液性视网膜脱离局限于靠近视神经乳头的鼻侧区域。在这5只眼中,玻璃体切除术、在缺损边缘附近进行视网膜切开松解术以及氰基丙烯酸酯视网膜固定术均成功使视网膜复位。1只眼后极部视网膜出现了类似黄斑裂孔综合征的劈裂样分离,未发现明显视网膜裂孔。非孔源性视网膜脱离可能与脉络膜缺损相关。