A case of primary vasoproliferative tumor with full-thickness macular hole

P. Rishi, Janani Sreenivasan
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Abstract

A 53-year-old female presented with defective vision in the left eye of one week duration with a best-corrected visual acuity (BCVA) of 6/9. Fundus examination showed a primary retinal vasoproliferative tumor (RVPT) at the inferotemporal quadrant and a small full-thickness macular hole (MH). The patient underwent cryotherapy for RVPT, followed later by vitrectomy with internal limiting membrane peeling and gas tamponade. The tumor regressed and the MH was closed with BCVA of 6/9. RVPT can present with remote macular complications like epiretinal membrane, cystoid macular edema, macular exudates, and rarely full-thickness MH. Management should be directed towards the tumor as well as the complication.
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原发性血管增生性肿瘤伴全层黄斑孔1例
患者为53岁女性,左眼视力缺损1周,最佳矫正视力(BCVA) 6/9。眼底检查显示颞下象限原发性视网膜血管增殖性肿瘤(RVPT)和一个小的全层黄斑孔(MH)。患者接受RVPT冷冻治疗,随后进行玻璃体切除术,内限制膜剥离和气体填塞。肿瘤消退,闭合MH, BCVA为6/9。RVPT可出现远端黄斑并发症,如视网膜前膜、囊样黄斑水肿、黄斑渗出,很少出现全层MH。治疗应针对肿瘤及并发症。
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