排泄性血管异常复合体样病变的周围毛囊区域
Shreyas Temkar1, Kaviyapriya Natarajan1, Amit Kumar Deb1
1Ophthalmology, JIPMER, Puducherry, India.
European journal of ophthalmology
|September 16, 2023
概括
这项研究呈现了一种罕见的视网膜毛细血管大动脉瘤在周围毛细血管区域的情况,通常在周围区域发现. 焦点激光治疗成功地解决了病变并改善了视力.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜血管疾病 视网膜血管疾病
- 医疗成像医学成像
背景情况:
- 周周排泄性血管异常综合体 (eVAC) 是一种罕见的异常性视网膜损伤.
- eVAC通常是一个孤立的动脉瘤病变,在周围区域.
研究的目的:
- 报告一个不寻常的呈现的eVAC类似的病变在周毛囊区域.
- 为了描述这种周周细胞损伤的诊断特征和治疗反应.
主要方法:
- 一个69岁的糖尿病妇女的病例报告,视力模糊.
- 诊断工具包括 fundus 检查,光素血管学和光学连贯性断层扫描 (OCT).
- 治疗包括静脉内注射抗VEGF注射,然后进行焦点激光光凝血.
主要成果:
- 经过测试,OCT发现了一种类似于eVAC的损伤,该损伤发生在皮囊周周区域,其中含有亚叶和内液.
- 病变在抗VEGF治疗后持续存在,但通过焦点激光光凝血完全消失.
- 视网膜胀减少,视力敏度在治疗后显著改善.
结论:
- 排泄性内动脉瘤病变可以发生在周围膜区域之外.
- 海洋和土壤对表征这些病变和监测治疗反应至关重要.
- 这些病变,无论位置如何,都可以称为eVAC类或视网膜毛细血管大动脉瘤 (RCM).
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