葡萄瘤诱导的严重黄斑病:自然过程和治疗效果
Monica Ravenstijn1, José P Martinez Ciriano2, Gerard W de Graaf2
1Rotterdam Ophthalmic Institute, Rotterdam Eye Hospital, Rotterdam, the Netherlands; Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Ophthalmology. Retina
|November 24, 2023
概括
葡萄瘤诱导的血清性黄斑病变 (SISM) 通常会自发地消失,随着时间的推移,血清性视网膜脱落 (SRD) 会发生波动. 治疗并没有显著改变视力敏度,这表明SISM适合采取警的方法.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 斑点退化症 斑点退化症
背景情况:
- 葡萄瘤诱导的血清性斑点病变 (SISM) 是一种影响斑点的疾病.
- 了解其自然过程和治疗疗效对于患者管理至关重要.
研究的目的:
- 调查SISM的自然历史.
- 评估各种治疗对SISM和视力敏度的影响.
主要方法:
- 从20名SISM患者的26只眼睛的回顾性病例系列.
- 医疗记录和 Spectralis OCT B 扫描的分析.
- 在73个月的平均随访期间评估血清性视网膜脱落 (SRD) 高度和最佳校正视敏度 (BCVA).
主要成果:
- 在所有眼睛中,SRD波动,在31%的病例中自发消失,在35%的病例中重新出现.
- 包括光动力学疗法,抗VEGF和局部布雷迪尼索隆在内的治疗在SRD解决方面取得了有限的成功.
- 在基线和最后一次访问之间,或在治疗和未治疗的眼睛之间,没有观察到BCVA的显著差异.
结论:
- SISM表现出一个波动的课程与自发的解决方案可能.
- 目前的治疗似乎没有改变长期视觉结果 (BCVA).
- 在排除其他可治疗的SRD原因后,建议SISM采用"等待"方法.
关键词:
近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近自然过程中的自然过程.后面的葡萄瘤.治疗方法 治疗方法更多相关视频
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