后玻璃体脱离后双侧视盘凹陷处黄斑病变的自发和手术治疗:病例报告

Serhat Eker, Saban Gonul
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引用次数: 0

摘要

目的:报告一例采用不同治疗方法的双侧视盘凹陷(ODP)黄斑病变病例:观察性病例报告:结果:一名 17 岁的男性患者出现双眼视力模糊。右眼视力为 20/400,左眼视力为 20/200。眼底检查发现双侧颞叶 ODP 和黄斑病变。光学相干断层扫描显示,双眼均存在严重的视网膜内裂孔样改变、视网膜下积液以及后透明层增厚导致的视网膜旁玻璃体黄斑牵引。他的左眼接受了玻璃体旁切除术,同时进行了内限制膜剥离和气体填塞。由于右眼近视度数高,黄斑病变较轻,因此选择了保守治疗。右眼自发性玻璃体后脱离后发现黄斑病变消退:我们的病例报告有助于了解玻璃体黄斑异常在 ODP 黄斑病变发病机制中的作用。
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Spontaneous and Surgical Resolution of Maculopathy in Bilateral Optic Disc Pit After Posterior Vitreous Detachment: A Case Report.

Purpose: To report a case of bilateral optic disc pit (ODP) maculopathy using a different treatment approach.

Methods: Observational case report.

Results: A 17-year-old male presented with blurred vision in both eyes. His visual acuity was 20/400 in the right eye and 20/200 in the left eye. Fundus examination revealed bilateral temporal ODP and maculopathy. Optical coherence tomography scans showed severe intraretinal schisis-like changes, subretinal fluid, and parafoveal vitreomacular traction due to posterior hyaloid thickening in both eyes. Pars plana vitrectomy, in combination with internal limiting membrane peeling and gas tamponade, was performed on his left eye. A conservative approach was preferred due to high myopia and milder maculopathy in the right eye. Regressed maculopathy was found after spontaneous posterior vitreous detachment in the right eye.

Conclusion: Our case report may contribute to the knowledge regarding the role of vitreomacular abnormalities in the pathogenesis of ODP maculopathy.

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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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