Chaudhry N A, Flynn H W, Tabandeh H
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136, USA.
Am J Ophthalmol. 1999 Jan;127(1):96-9. doi: 10.1016/s0002-9394(98)00299-2.
To report idiopathic unilateral giant retinal tears with retinal detachment in identical twins that occurred 2 weeks apart.
Case reports.
In both patients, giant retinal tear and retinal detachment was treated with pars plana vitrectomy, placement of encircling scleral buckle, fluid-perfluorocarbon exchange, endolaser treatment, perfluorocarbon-air exchange, and 16% perfluoropropane injection. One year after retinal detachment surgery, cataract developed in both postoperative eyes. Phacoemulsification with posterior chamber intraocular lens implantation was performed on both eyes. Three and a half years after retinal surgery, corrected visual acuity in both treated eyes was 20/20, and retinal reattachment was successful.
To our knowledge, this is the first report of idiopathic giant retinal tears in identical twins and raises the issue of genetic influences in the pathogenesis of this disease.
报告一对同卵双胞胎在相隔2周的时间内先后发生的特发性单侧巨大视网膜裂孔伴视网膜脱离。
病例报告。
两名患者均接受了玻璃体切除术、巩膜环扎术、液-全氟碳交换、眼内激光治疗、全氟碳-空气交换以及16%全氟丙烷注射，以治疗巨大视网膜裂孔和视网膜脱离。视网膜脱离手术后一年，两名患者的术眼均发生了白内障。双眼均进行了超声乳化白内障吸除联合后房型人工晶状体植入术。视网膜手术三年半后，两名治疗眼的矫正视力均为20/20，视网膜复位成功。
据我们所知，这是同卵双胞胎中特发性巨大视网膜裂孔的首例报告，并引发了关于该疾病发病机制中遗传影响的问题。
