严重白血病视网膜病变的病例的手术管理
Farzad Jamshidi1,2, Timothy M Boyce1,3, R Christopher Bowen4
1Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, IA, USA.
American journal of ophthalmology case reports
|September 16, 2025
概括
严重的白血病视网膜病变可能需要手术来恢复视力. 本案例报告详细介绍了急性髓细胞白血病 (AML) 相关视力损失的手术康复后成功的四年随访.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 医学案例报告 病例报告
背景情况:
- 白血病视网膜病变是白血病的一个严重的眼部并发症.
- 急性髓细胞白血病 (AML) 可以导致严重的视力损伤.
- 在AML患者中较长的存活率强调了视觉康复的重要性.
研究的目的:
- 为了呈现严重的白血病视网膜病变需要手术干预的情况.
- 为了记录为期四年的白血病视网膜病变手术康复的随访情况.
- 讨论相关的缓解后眼睛病理.
主要方法:
- 一个35岁的女性患有AML和视力丧失的病例报告.
- 手术管理包括帕斯普拉纳视切除术 (PPV) 与内部限制膜 (ILM) 剥离.
- 手术后的护理包括白内障手术和囊性黄斑胀 (CME) 的治疗.
主要成果:
- 初始呈现与手部运动 (HM) 视力和严重的视网膜出血.
- 在手术和治疗后,双眼视力敏度改善至20/25
- 光学连贯断层扫描 (OCT) 显示了视网膜外部损失,表明残留损伤.
结论:
- 手术康复是严重白血病视网膜病变中视力恢复的可行选择.
- 改善AML治疗需要关注长期的视觉结果.
- 了解白血病视网膜病变的自然史对于患者管理至关重要.
相关概念视频
01:27Open Angle Glaucoma: Treatment
963
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
963
01:28Angle Closure Glaucoma: Treatment
1.2K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.2K