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題名 | Intravitreal Triamcinolone for Purtscher's Retinopathy--A Case Report=玻璃體內注射Triamcinolone治療Purtscher's Retinopathy:病例報告 |
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作者 | 楊盈盈; 楊嶺; 莊蘭馨; 古婉珍; 孫啟欽; 楊克仁; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 49:4 2010.12[民99.12] |
頁次 | 頁623-628 |
分類號 | 416.745 |
關鍵詞 | 玻璃體內注射; 瀰漫性視網膜動脈滲漏; Intravitreal injection of triamcinolone acetonide; Purtscher's retinopathy; |
語文 | 英文(English) |
中文摘要 | 目的:玻璃體內注射triamcinolone治療Purtscher's retinopathy之病例報告。方法:病例報告和文獻回顧。結果:病例為49歲男性,修車時汽車由起降架上掉落造成背部和左肩壓傷。外傷後左眼視力模糊,下降至可辨指數二十公分。眼科檢查發現左眼玻璃體出血,視網膜出血,黃斑水腫,棉絮狀斑,Purtscher flecken。眼底螢光血管造影顯示瀰漫性視網膜動脈滲漏。病人在外傷後第四週接受左眼眼內注射triam-cinolone(2亳克)。外劇變第六週中心凹厚度恢復正常。外傷後第15週,亦即接受眼內注射11週之後,左眼視力回復至20/20。結論:Purtsche's retinopathy在許多疾病都曾出現,最常發生在外傷之後。目前沒有明確的治療方式。部分病例報告使用類固醇靜脈注射可改善視力。本篇病人接受眼內注射triamcinolone後,黃斑水腫及視力均改善,並且未出現副作用。 |
英文摘要 | Purpose: To report a patient who received intravitreal injection of triamcinolone acetonide (IVTA) for Purtscher's retinopathy. Methods: Case report and literatures review. Results: A 49-year-old man had compression injuries on his back and the left shoulder. He complained of blurred vision in the left eye after trauma, and his visual acuity (VA) in the left eye was counting finger 20 cm. Ophthalmic examination revealed vitreous hemorrhage, retinal hemorrhage, macular edema, cotton-wool spots, and Purtscher flecken in his left eye. Fluorescein angiography revealed diffuse leakage from the retinal arterioles. The patient received an IVTA (2 mg) in his left eye at the fourth week. The foveal thickness returned to normal at the sixth week. At the 15th week, i. e., 11 weeks after IVTA, VA of the left eye returned to 20/20. Conclusion: Purtscher's retinopathy has been reported in a variety of conditions and is most often observed after trauma; no well-defined treatment has been established for Purtscher's retinopathy. Administration of systemic steroids may improve visual outcomes in some patients. In our patient, a single dose of IVTA successfully resolved macular edema and improved VA without side effects. |
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