Large Traumatic Retinal Dialysis Associated With Prominent Vitreous Base Avulsion.

Large Traumatic Retinal Dialysis Associated With Prominent Vitreous Base Avulsion.
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与突出玻璃体基部撕脱相关的大创伤性视网膜透析。

DOI:
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发表时间:
2018
影响因子:
1
通讯作者:
George A. Williams
George A. Williams
中科院分区:
医学4区
文献类型:
--
作者:
Adam J. Weiner;P. Rao;George A. Williams

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1例13岁女性,有早产儿视网膜退行性病变病史,左眼钝器伤后出现新发飞蚊症。最佳矫正视力双眼(OU)为20/20,右眼(OD)眼压为14 mm Hg,左眼为15 mm Hg。麻醉下检查发现眼前段OU不明显,无前房积血或晶状体半脱位。巩膜压抑OS表现为暂时性视网膜脱离(1点至3点)和鼻部视网膜脱离(7点至10点),并伴有明显的玻璃体底部撕脱,但无视网膜下积液(图)。巩膜凹陷OD值无明显变化。两个区域的视网膜透析OS在透析边缘后用三排间接绿色激光光凝治疗。眼科激光成像视网膜。2018年;49:731。]
A 13-year-old female with a history of regressed retinopathy of prematurity presented with new-onset floaters after sustaining blunt force trauma to her left eye. Best-corrected visual acuity was 20/20 in both eyes (OU), with an intraocular pressure of 14 mm Hg and 15 mm Hg in the right eye (OD) and left eye (OS), respectively. Exam under anesthesia revealed an unremarkable anterior segment OU, including no hyphema or subluxated crystalline lens. Scleral depression OS demonstrated a retinal dialysis superotemporally (1-o'clock to 3-o'clock) and nasally (7-o'clock to 10-o'clock) associated with a prominent vitreous base avulsion but no subretinal fluid (Figure). Scleral depression OD was unremarkable. Both areas of retinal dialysis OS were treated with three rows of indirect green laser photocoagulation posterior to the edge of the dialysis. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:731.].