与慢性髓性白血病相关的增殖性视网膜病变的延迟表现
Alan Chew Bonilla1, Paulina Bueno Zarazúa1, Jaime Rosales Padron1
1Retina Department, Institute of Ophthalmology Fundación Conde de Valenciana, Chimalpopoca 14, Colonia Obrera, Mexico City, 06800, Mexico.
American journal of ophthalmology case reports
|August 20, 2024
概括
本病例报告详细介绍了慢性髓性白血病 (CML) 患者的一例罕见的增殖性视网膜病变,该病例在缓解后几年出现. 定期的眼科检查对于早期检测CML相关的视力问题至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 慢性髓性白血病 (CML) 可以出现眼部并发症.
- 增殖性视网膜病变是一种已知的但很少延迟的CML并发症.
研究的目的:
- 报告CML患者缓解期间延迟增殖性视网膜病变表现的独特病例.
- 强调长期眼科监测对CML患者的重要性.
主要方法:
- 案例报告和文献综述.
- 详细的临床表现和 fundus 检查结果.
- 用光素血管学引导的泛视网膜光凝治疗.
主要成果:
- 一名患有CML的52岁男性在缓解后15年出现了外周新血管化和玻璃体出血.
- 治疗导致8个月内新血管化的回归.
- 在视网膜病变出现时,白细胞计数在正常范围内.
结论:
- 增殖性视网膜病变可以显著延迟表现在CML患者,即使在缓解期间.
- 在CML诊断和长期随访期间,眼科评估至关重要.
- 早期发现和治疗眼部并发症对于保持视力至关重要.
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