在形视网膜脱落的多次修复后,出现冠状动脉新血管化的病例
Dipen Kumar1, Jason Zehden1, Alice Y Zhang1
1Department of Ophthalmology, University of North Carolina, Chapel Hill, NC, USA.
概括
胸膜新血管化 (CNV) 是视网膜脱落 (RD) 手术后的一种罕见并发症. 本案例报告强调了在多次RD修复和使用油后,用抗VEGF注射成功治疗CNV.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 新血管化的新血管化.
背景情况:
- 胸膜新血管化 (CNV) 是视网膜脱落 (RD) 手术后的一种不常见的并发症.
- 在复杂的RD维修过程中,有时会使用烯酸油吸管.
研究的目的:
- 报告一个罕见的CNV病例,该病例发生在多次RD修复后,使用油放置.
- 讨论在高风险患者中加强术后监测的潜在需要.
主要方法:
- 回顾性案例报告. 回顾性案例报告.
- 对患者病史的审查,包括多次RD手术和油的使用.
- 用内抗血管内皮生长因子 (抗VEGF) 注射进行治疗.
- 用光学连贯性断层扫描 (OCT) 进行治疗后评估.
主要成果:
- 患者在经过三次RD修复后出现了CNV,最近一次涉及油.
- 内抗VEGF注射导致内和下液体的溶解.
- 超越国土的成像证实了液体的分辨率.
结论:
- 在RD手术后,CNV很少发生,特别是在具有危险因素的眼睛中.
- 风险因素包括多次之前的手术,油吸管和黄斑脱落.
- 考虑对患有这些风险因素的患者进行加强的术后CT监测,以早期检测CNV.
更多相关视频
10:24Regenerative Therapy by Suprachoroidal Cell Autograft in Dry Age-related Macular Degeneration: Preliminary In Vivo Report
Published on: February 12, 2018
10.1K
11:20Retinal Pigment Epithelium Transplantation in a Non-human Primate Model for Degenerative Retinal Diseases
Published on: June 14, 2021
3.6K
相关概念视频
Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Cardiomyopathy II: Dilated Cardiomyopathy
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
