先天性近视合并妊娠:一例罕见病例和文献综述

C. Sofoudis, Papamargaritis Eftimios, Papadaki Maria, Yperifanou Kyriaki
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引用次数: 0

摘要

我科收治一位高度近视的35岁女性患者(P0, G1),因双侧脉络膜新生血管(CNV)导致视力下降R 3/10 1 3/10。患者于2岁时首次诊断为先天性近视。初步诊断为屈光不正超过8度(高度近视)逐渐增加。在妊娠晚期,她的视力急剧下降。眼底镜检查显示双侧眼压升高,近视恶化至-30D。(超声血管造影显示CNV活跃)。患者因黄斑出血风险增加而选择剖宫产。她于4月出院,临床情况良好。为了确保最佳的治疗定位,眼科和产科监护显得必不可少。我们研究的目的仍然是正确的诊断和治疗这种罕见的病例。
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Congenital myopia complicating pregnancy: A rare case and mini-review of the literature
A highly myopic 35-year-old female patient (P0, G1) with reduced visual acuity R 3/10 l 3/10 due to bilateral choroidal neovascularization (CNV) admitted at our Department. The patient had atomic history of congenital myopia firstly diagnosed at the age of 2-y-old. The initial diagnosis established a refractive error over 8 diopters (high grade myopia) progressively increased. During third trimester of gestation her vision was acutely diminished. The fundoscopic examination depicted elevated intraocular pressure and deterioration of myopia to -30D bilaterally. (Fruoresceinangiography revealed active CNV). Patient underwent selected caesarean section due to increased risk of macular hemorrhage. She discharged from hospital the 4th pod in good clinical condition. Assiduous ocular and obstetrical monitoring appeared mandatory in order to insure optimal therapeutic mapping. Objective of our study remains proper diagnosis and treatment of such a rare case.
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