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題名 | Perfluorocarbon Liquid-Assisted External Drainage in the Management of Central Serous Chorioretinopathy with Bullous Serous Retinal Detachment=使用手術治療中心漿液性視網膜病變造成之水泡樣漿液性視網膜剝離 |
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作者姓名(中文) | 陳泓橋; 何昭德; 陳珊霓; | 書刊名 | 長庚醫學 |
卷期 | 26:10 2003.10[民92.10] |
頁次 | 頁777-781 |
分類號 | 416.746 |
關鍵詞 | 中心漿液性視網膜病變; 漿液性視網膜剝離; 重油; 變異型中心漿液性視網膜病變; Central serous chorioretinopathy; Variant central serous chorioretinopathy; Serous retinal detachment; Perfluorocarbon liquid; |
語文 | 英文(English) |
中文摘要 | 漿液性視網膜剝離(serous retinal detachment)之成因很多,包括眼部發炎疾病如原田氏症(Harada diesase),高血壓,老年性黃斑部病變(age-related macular degeneration), 鞏膜炎或眼內轉移腫瘤等,只有少數病例為中時液性視網膜病變(central serous chorioretinopathy)造成。典型之中心漿液性視網膜病變可見黃斑部局部視網膜剝離,病人多為年輕至中年男性,通常約2至3個月會自動恢復,視力預後不錯。不過會造成水泡樣漿液性視網膜剝離(bullous serous retinal detachment)則為少見之誅異型中心漿液性視網膜病(variant central serous chorioretinopathy),視力預後較差,並且容易被誤診為其他視網膜疾病。本病例為一雙側中心漿液性視網膜病變病人點併左眼嚴重水泡樣漿液性視網膜剝離。先前於他院診斷為破孔性視網膜剝離(rhegmatogenous retinal detachment),接受手術治療無效。於本院檢查時,藉由眼部螢光血管攝影正確診斷後,病人托受玻璃體切除術;使用重油(perfluorocarbon liquid)幫助視網膜對液體引流及眼內雷射治療,術後視網膜完全貼回。不過視力則因視網膜下纖維他而恢復不佳。 |
英文摘要 | The differential diagnosis of serous retinal detachment (RD) includes Vogt-Koyanagi-Harada syndrome, severe hypertensive choroidopathy, posterior scleritis, multifocal choroiditis, meatastatic tumor, and uveal effusion. Some cases of serous retinal detachment occur as a result of central serous chorioretinopathy (CSCR). Typical CSCR generally affects healthy middle-aged males and is characterized by localized serous RD of the neurosensory retina and retinal pigment epithelium in the macula that often spontaneously improve within 2 to 3 months. On rare occasions, variant CSCR with bullous RD occurs which is frequently misdiagnosed. We report on a case of variant CSCR with bullous RD occurs which is frequently misaiagnosed. We report on a case of variant CSCR with severe bullous serous retinal detachment in the left eye that was initially treated at another hospital under the misdiagnosis of rhegmatogenous retinal detachment. Because the retinal detachment developed so fast that a laser could not be applied to all leaking spots, we performed a pars plana vitrectomy, perfluorocarbon liquid-assisted external drainage, and final treatment with an endolaser. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。