早产儿视网膜病变患者术后长期随访的特点

Le Hoang Thang, Sidorenko Evgeniy Evgenievich, Sidorenko Evgeniy Ivanovich, Krapivkin Alexey Igorevich, Kushchuk Olga Andreevna, Miguel Dmitry Vladimirovich, Ermolaeva Elena Valerievna, Loskutova Victoria Evgenievna
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引用次数: 0

摘要

背景:早产儿视网膜病变(ROP)会导致很高比例的视力残疾,它仍然是小儿眼科最复杂、最悬而未决的问题之一。尽管手术治疗取得成功,早产儿视网膜病变有所缓解,但有些患者到 25-35 岁时仍会因早产儿视网膜病变的长期后果而丧失视力。这就是为什么手术治疗 ROP 后的患者,包括患有周围脉络膜视网膜营养不良的患者,需要进行终身临床随访,以便及时诊断术后长期的反应性病症,从而导致视功能的显著丧失。方法:本文介绍了一个特殊病例,即一名 ROP 4 期患者,以及她的长期临床和功能结果。结论:通过对该患者进行定期动态监测,并采用信息量极大的现代研究方法,我们及时发现了黄斑区渗出成分的形成,从而避免了视网膜脱离和视力丧失。本研究的优势:本研究介绍了一个视网膜病变患者的临床病例,并对患者进行了长期随访。这说明了治疗后对患者进行长期监测的重要性以及综合治疗方法的重要性。
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Special features of postoperative long-term follow-up patients with retinopathy of prematurity
Background: Retinopathy of prematurity (ROP), leading to a high percentage of visual disability, continues to be one of the most complex and unresolved problems of pediatric ophthalmology. Some patients, despite successful surgical treatment and regression of ROP, lose their vision by the age of 25–35 years from the long-term consequences of ROP. That is why patients after surgical treatment of ROP, including those with peripheral chorioretinal dystrophy, need lifelong clinical follow-up in order to on time diagnose reactive conditions in the long-term postoperative period, leading to a significant loss of visual function. Methods: This paper presents a special case of a patient with stage 4 ROP and her long-term clinical and functional outcome. Conclusions: As a result of regular dynamic monitoring of the patient, using modern highly informative research methods, we promptly detected the formation of an exudative component of the macular area, which made it possible to prevent retinal detachment and loss of vision. Strengths of this study: This study presented a clinical case of a patient with ROP and long-term patient follow-up. This shows the importance of long-term monitoring of patients after treatment and the importance of combining treatment methods.
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