视网膜激光光凝术后继发性视网膜上膜(ERM)与视网膜撕裂自发分离

E. Babaei, Abdulrahman Pordel, M. Gohari, M. Shirvani
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摘要

导读:报告1例自发性视网膜外膜分离(ERM)并发视网膜破裂,并探讨其各维度及影响因素。病例介绍:本文报告一例罕见的44岁女性继发ERM自发性分离的临床病例。患者主诉视力丧失后右眼继发ERM及视网膜撕裂。患者接受了1次屏障激光光凝治疗右眼视网膜撕裂。选择了谨慎等待的方法。没有手术治疗。在随后的随访中发现自发性继发性ERM分离,视力改善,残留的乳头旁固定,视网膜厚度减少。结论:自发性继发ERM有分离和改善视觉症状的可能。定期用OCT对黄斑解剖进行结构评估和监测,观察ERM的自发消退,有助于推迟手术干预,直到患者出现明显和持续的视力下降或相关的视觉症状。
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Spontaneous Separation of Secondary Epiretinal Membrane (ERM) with Retinal Tear After Retinal Laser Photocoagulation
Introduction: Reporting a case of spontaneous separation epiretinal membrane (ERM) with retinal break and investigation of various dimensions and influencing factors. Case Presentation: The article presents a rare 44-years-old female clinical case spontaneous separation of secondary ERM. The patient had secondary ERM and Retinal tear in the right eye after complaining of losing vision. the patient had undergone 1 sessions of barrier laser photocoagulation for Retinal tear in the right eye. A method of cautious waiting was chosen. There was no surgical treatment. The spontaneous secondary ERM separation with the improvement in visual acuity, residual parapapillary fixation, and the diminution in retinal thickness were discovered during the subsequent visit. Conclusions: As spontaneous secondary ERM separation and improvement in visual symptoms is a possibility. Regular structural assessment and monitoring of the macular anatomy with OCT for spontaneous resolution of the ERM may help defer surgical intervention until the patient experiences significant and persistent reduction in vision or associated visual symptoms.
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