湿性老年性黄斑变性急性视网膜下出血引起全层黄斑孔

IF 0.5 Q4 OPHTHALMOLOGY Journal of VitreoRetinal Diseases Pub Date : 2023-10-18 DOI:10.1177/24741264231206281
Mrinali Gupta, John Lean
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引用次数: 0

摘要

目的:报告一例湿性年龄相关性黄斑变性(AMD)并发急性视网膜下出血的全层黄斑孔(MH)。方法:对1例病例进行回顾性观察性分析。结果:一名84岁男性湿性AMD患者表现为中央视力丧失和飞蚊症,并注意到视网膜下出血和相关的MH,随后发展为MH相关的黄斑脱离。患者行玻璃体切割,内限制膜剥离,气体填塞,俯卧位,导致MH闭合,视力改善。结论:湿性黄斑变性是由脉络膜新生血管急性出血引起的中央凹裂开的结果。
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Full-Thickness Macular Hole Caused by Acute Subretinal Hemorrhage From Wet Age-Related Macular Degeneration
Purpose: To present a case of full-thickness macular hole (MH) that developed in association with acute subretinal hemorrhage from wet age-related macular degeneration (AMD). Methods: A retrospective observational review of a single case was performed. Results: An 84-year-old man with wet AMD presented with central vision loss and floaters and was noted to have a subretinal hemorrhage and an associated MH, which subsequently progressed to MH-associated macular detachment. The patient had a pars plana vitrectomy with internal limiting membrane peeling, gas tamponade, and prone positioning, resulting in closure of the MH and improvement in visual acuity. Conclusions: A full-thickness MH developed as a result of foveal dehiscence from an acute hemorrhage caused by choroidal neovascularization in wet AMD.
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