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題 名 | 脈絡膜骨瘤--病例報告=Choroidal Osteoma-- Case Reports |
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作 者 | 吳欣席; 楊中美; 陳慕師; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 37:3 1998.09[民87.09] |
頁 次 | 頁278-284 |
分類號 | 416.749 |
關鍵詞 | 脈絡膜骨瘤; 網膜下新生血管; 網膜下積水; Choroidal osteoma; Subretinal neovascularization; Subretinal fluid; |
語 文 | 中文(Chinese) |
中文摘要 | 脈絡膜骨瘤為罕見之良性眼底腫瘤,好發於年輕健康女性,其眼底典型變化為視 神經盤周邊有黃白到橘紅色微隆起,且境界鮮明的腫瘤;螢光眼底攝影則表現出早期高螢光 之現象,並持續至晚期,視力可因而下降。本篇報告兩例罕見之病例,第一例為23歲女性, 單眼受犯。第二例為31歲女性,雙眼受犯。第一例初診時患眼視力僅0.2,眼底於視乳頭至 黃斑部及下部,有一位於視網膜下,黃白到橘黃色微隆起約6×8mm的病灶。眼球超音波 可見到眼球後壁有一高反射性腫瘤及音波影之現象。我們在腫瘤下方給與二到三排之氬雷射 治療,以觀察雷射對限制腫瘤長大的效果。經三年多之追蹤,患眼視力降至僅可辨眼前七十 公分之指數。眼底檢查顯示有與之前相似之病灶及黃斑部的網膜下新生血管併出血,腫瘤在 各方位均無顯著地擴展。第二例於初診時右眼視力0.4,左眼視力1.0。於兩眼底後極部皆可 見有約8.5×11mm大小之黃白到橘黃色微隆起的病灶。眼球超音波顯示兩眼眼球後壁皆有 一高反射性腫瘤及音波影之現象。密切追蹤兩年多以來,病灶無明顯之改變,目前右眼視力 0.3,左眼視力0.8,並無其它不適。 |
英文摘要 | Choroidal osteoma is a rare introcular calcified lesion affected mainly young and middle aged patients. The lesion is characterized by peripapillary flat or slightly elevated orange mass, which gradually turns yellow-white. Vision may become decreased due to serous retinal detachment or subretinal neovascularization. Two young women complained of recent onset of unilateral blurred vision and metamorphopsia. Ophthalmological evaluation of the first patient revealed a peripapillary yellow-white subretinal plaque lesion with pigmentary change in the macular area in the left eye. Billateral similar lesions were noted in the second patient. Echographic examination showed the lesion in both patients to be flat and echo-dense with marked shadowing of the posterior signals. Although the lesions showed minimal enlargement through out the follow-up period, the best visual acuity in the lesion eye of the first patient dropped from 0.2 to finger counting vision, owing to subretinal neovascularization and hemorrhage. This benign lesion should be differentiated with other orange-red or yellow-white choroial mass. |
本系統中英文摘要資訊取自各篇刊載內容。