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題名 | Surgical Results of Persistent Fetal Vasculature=殘留性胎兒血管組織的手術結果 |
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作者 | 鄭力升; 郭鍚恭; 林淑妍; 郭明倫; Cheng, Li-sheng; Kuo, Hsi-kung; Lin, Sue-ann; Kuo, Ming-lun; |
期刊 | 長庚醫學 |
出版日期 | 20040800 |
卷期 | 27:8 2004.08[民93.08] |
頁次 | 頁602-608 |
分類號 | 417.745 |
語文 | eng |
關鍵詞 | 殘留性胎兒血管組織; 殘留性增殖型原始玻璃體; Prsistent fetal vasculature; PFV; Persistent hyperplastic primary vitreous; PHPV; |
中文摘要 | 背景:評估患有殘留性胎兒血管組織的病患接受手術治療後的結果。 方法:迴顧及分析高雄長庚醫院於1991年到2001年10年間內,對於患有殘留性胎兒血管組織的病患接受手術治療的結果,特別針對這些病患治療前後的視力,臨床表現及眼球的併發症加以探討。 結果:共有7位病人,7隻眼睛接受手術治療。其中,1位為完全前位型態、1位為院全後位型態、5位為混合型態。所有的病患皆靈單一患眼。初期治療包括水晶體吸除者有3隻眼睛、僅接受玻璃體切除術者僅有1隻眼睛、合併水晶體及玻璃體切除術者有3位。因增生膜、或青光眼、或玻瑙出血、或視網膜剝離而再次手術率為42.8%,治療術後最佳矯正視力從20/70到僅餘光覺。 結論:在這次回顧中發現,針對特定的病患手術後可以達到具有功能性的視力。然而,大多數的病患僅管術後達到解剖學上結構成功,然而視力仍然不好。推論原因可能為手術治療的介入時間點延遲、及術後病人接受視力復健的耐受性不佳,所以早期的診斷、治療以及手術後積椏的視力復健是此類患者可以達到良好視覺功能的關鍵。 |
英文摘要 | Background: To evaluate the surgical results of patients with persistent fetal vasculature (PFV), also known as persistent hyperplastic primary vitreous (PHPV). Methods: From 1991 to 2001, a retrospective, noncomparative study of 7 eyes of 7 patients diagnosed with PFV was conducted. In each case, type of anterior and/or posterior PHPV findings, preoperative testing, surgical procedures, and visual outcomes were obtained from the records. Follow-up ranged from 12 to 43 months, with a mean of 15 months. Results: Of the 7 eyes, one (14%) had strictly anterior PFV, 1 (14%) had strictly posterior PFV, and 5 (71%) had components of both anterior and posterior disease. Initial lens aspiration only was performed in 3 (43%) eyes. Initial vitrectomy only was performed in 1 eye (14%). Initial lensectomy and vitrectomy was performed in 3 (42.8) eyes. The reoperation rate was 43% for membrane reproliferation, glaucoma, vitreous hemorrhage, and retinal detachment. Final best-corrected visual ranged rom light perception only to 20/70 on the Snellen chart. Conclusions: Functional vision is possible in selected patients. However, poor final visual outcome despite adequate anatomic success were noted in this study. The poor outcomes might have been due to patients delaying vitrectomy until retinal detachment developed or that the patients had poor compliance with postoperative ocular rehabilitation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。