頁籤選單縮合
題名 | High-Density Vitreous Substitute in the Management of Advanced Coats' Disease=以玻璃體高密度替代品治療嚴重寇氏病 |
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作者 | 吳淑雅; 何昭德; 何正廉; 陳珊霓; 蔡瑞芳; | 書刊名 | 長庚醫學 |
卷期 | 25:2 2002.02[民91.02] |
頁次 | 頁128-132 |
分類號 | 416.745 |
關鍵詞 | 寇氏病; 重油; Coats' disease; Perfluorodecaline; |
語文 | 英文(English) |
中文摘要 | 嚴重寇氏病對視力影響甚大,目前對其並無有效的治療方法。我們報告一位十五歲左眼為嚴重寇氏病的女孩,進行玻璃體切除術及膜剝除術,並打入重油於玻璃體後部,將網膜下積水往周邊壓擠。再經鞏膜外部引流及環狀鞏膜扣壓術和冷凍治療,使視網膜重新復位。之後在進入眼內將重油拿除,並將不正常血管做電燒,以及做360度整個視網膜雷射治療。經過3年的追蹤,患眼視力進步且後極視網膜復位,不再惡化。玻璃體高密度替代品重油在治療嚴重寇氏病上,是一有用的輔助物,可提高手術成功率。 |
英文摘要 | Advanced Coats' disease is a threat to vision. Management of advanced Coats' disease has long been a challenge to ophthalmologists. Some people have attempted to use pars olana vitrectomy and intraocular diathermy on diseased vessels followed by intraocular gas or silicone oil injection. However, internal drainage is technically difficult. We present a case of advanced Coats' disease for which, after an encircling buckle and pars plana vitrectomy, intravitreal injection of perfluorodecaline was used to displace the subretinal fluid to the peripheral subretinal space, and transscleral external drainage was achieved. Finally panretinal laser photocoagulation, cyotheraphy and endodiathermy were performed on diseased vessels. Visual improvement and reattachment of the posterior pole were achieved. So we think a high-density vitreous substitute can be a useful adjunct in the management of advanced Coats' disease. It minimizes the disadvantages of the internal or extermal approaches, while maintaining most of the advantage of both. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。