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題名 | Complications Associated with 360-degree Annular Peripheral Detachment--Report of Two Cases=360度環狀視網膜剝離之相關併發症--病例報告 |
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作者姓名(中文) | 張雯惠; 楊中美; 陳慕師; | 書刊名 | 慈濟醫學 |
卷期 | 14:3 2002.06[民91.06] |
頁次 | 頁187-191 |
分類號 | 416.746 |
關鍵詞 | 360度環狀視網膜剝離; 前增殖性玻璃體視網膜病變; 低眼壓; 虹彩新生血管; 白內障; 360° annular peripheral detachment; Anterior proliferative vitreoretinopathy; Hypotony; Rubeosis iridis; Cataract; |
語文 | 英文(English) |
中文摘要 | 360度環狀視網膜剝離為一罕見情況,可發生於裂孔性視網膜剝離之患者接受玻璃體清除術之後。本文報告兩例病例,其中一例出現前房出血白內障及虹彩新生血管之併發症,一例出現虹彩新生血管及慢性眼壓之併發症,經施予再次手術後網膜復位良好,視力些許改善。因而,應早期預防和治療週邊視網膜剝離,以避免其併發症發生,引發視力之下降。 |
英文摘要 | Three hundred sixty degree annular peripheral detachment (APD) with attached posterior retina is uncommon. It can occur after pars plana vitrectomy for rhegmatogenous retinal detachment or diabetic retinopathy. Although central vision may be preserved with an attached posterior retina, visual acuity may be reduced significantly through various mechanisms. We report on two such cases. In the first patient, a 46-year-old man, visual acuity in the right eye was reduced to light perception secondary to hyphema, prominent rubeosis iridis and dense nuclear sclerosis after two retinal detachment surgeries. The second patient, a 60-year-old man, had blurred vision with persistent hypotony and rubeosis iridis in the right eye after two retinal detachment surgeries. Both cases showed 360° APD with attached posterior retina. In both cases, anterior dissection of the vitreous base, release of traction and 360° retinectomy were performed and vision was improved or stabilized. Rubeosis iridis regressed and the retinae remained attached. Prevention, early recognition and proper management of this condition are very important. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。