Peripapillary choroidal neovascularization associated with melanocytoma of the optic disc: a clinicopathologic case report
Peripapillary choroidal neovascularization associated with melanocytoma of the optic disc: a clinicopathologic case report
复制标题
视乳头周围脉络膜新生血管与视盘黑色素细胞瘤相关：临床病理病例报告
DOI：
10.1007/s00417-006-0270-1
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
L. Zografos
中科院分区：
文献类型：
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作者：
Viet Tran;E. Bovey;S. Uffer;L. Zografos
背景视神经盘黑色素细胞瘤是一种良性黑色素细胞肿瘤，很少引起视力损害。我们报告一例黑色素细胞瘤的视神经盘视力下降有关的乳头周围脉络膜新生血管膜（PCNVM），成功地治疗了由submacular surgery.MethodsA 45岁的南欧患者有一个黑色素细胞瘤的视神经盘在他的左眼视力为20/100。血管造影显示PCNVM阻碍与视网膜下hemorrhaging.ResultsThe患者进行了完整的玻璃体切除术，并删除的PCNVM的中心凹。随后，视网膜下出血消失，视力改善至20/25。视力保持良好的一段时间的14个月的随访，没有任何复发的新生血管membrane.ConclusionsSubmacular手术是一个潜在的有效的治疗大PCNVM与黑色素细胞瘤的视盘。
BackgroundMelanocytoma of the optic disc is a benign melanocytic tumor that rarely causes visual impairment. We report a case of a melanocytoma of the optic disc with a decreased vision related to a peripapillary choroidal neovascular membrane (PCNVM) that was successfully treated by submacular surgery.MethodsA 45-year-old southern European patient had a melanocytoma of the optic disc in his left eye with vision of 20/100. Fluorescein angiography demonstrated a PCNVM impeding the fovea associated with a subretinal hemorrhage.ResultsThe patient underwent a complete vitrectomy and removal of the PCNVM. Subsequently, the subretinal hemorrhage disappeared and visual acuity improved to 20/25. Visual acuity remained good for a period of 14 months’ follow-up without any recurrence of neovascular membrane.ConclusionsSubmacular surgery is a potentially effective treatment for large PCNVM associated with a melanocytoma of the optic disc.