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題名 | Myopic Foveschisis Resolution without Vitrectomy: Spontaneous Resolution or through Pneumopexy=未經玻璃體切除術之近視視網膜分離之貼合:自發性貼合或氣體填充 |
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作者 | 余涵如; 吳佩昌; 郭錫恭; Yu, Hun-ju; Wu, Pei-chang; kuo, Hsi-kung; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 20100300 |
卷期 | 49:1 2010.03[民99.03] |
頁次 | 頁73-77 |
分類號 | 416.746 |
語文 | eng |
關鍵詞 | 近視; 視網膜分離; 玻璃體切除; 自發性貼合; 氣體填充術; Foveoschisis; Myopia; Vitrectomy; Pneumopexy; |
中文摘要 | 目的:報告兩例近視視網膜分離未經玻璃體切除術之貼合。 方法:病例報告。 結果:病例一: 一27歲高度近視女性,左眼視力為0.03,眼軸長為32.67mm,眼底檢查為高度近視變化。眼光學同調斷層掃描顯示視網膜分離於23個月後自發性貼合且視力改善至0.5。病例二:一72歲高度近靚女性,右眼視力為可辨指數,眼軸長為31.99mm '眼底亦可見高度近視變化併視網膜剝離。觀察一個月後病患之視網膜分離程度經由眼光學同調斷層掃描顯示加劇,但病人不願意接受玻璃體切除手術,於是我們為她做氣體填充術。術後追蹤之眼光學同調斷層掃描顯示視網膜分離貼合且視力進步到0.05。 結論:近視視網膜分離是有可能自發性貼合。在玻璃體切除手術之前,可以嘗試氣體填充術,也有可能讓視網膜分離貼合。 |
英文摘要 | Purpose: To report two cases of myopic foveoschisis resolution without vitrectomy. Method: Observational case reports Results: Case 1. A 27-year-old woman with pathologic myopia presented with decreased vision of 0.03 in her left eye. Fundus showed myopic chorioretinal changes and posterior staphyloma. Axial length was 32.67mm. Serial optical coherence tomographies (OCT) revealed obvious schisis improvement spontaneously 23 months later and vision improved to 0.5. Case 2. A 72-yearold woman with pathologic myopia presented with decreased vision in her right eye, only being able to count fingers. Fundus showed myopic chorioretinal changes, posterior staphyloma and shallow retinal detachment. Axial length was 31.99mm. OCT revealed schisis progression obviously one month later. Patient refused surgery thus we performed pneumopexy. The follow up OCT revealed a dramatic resolution with vision improved to 0.05. Conclusion: Spontaneous resolution of myopic foveoschisis may occur. Pneumopexy may be considered before vitrectomy. |
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