在儿科视网膜变症中视网膜血管扩散性瘤
Arif O Khan1, Aniruddha Agarwal1
1Ophthalmology, Integrated Surgical Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE; Department of Ophthalmology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
概括
视网膜血管扩散性瘤 (RVPTs) 可能发生在患有遗传视网膜变症的儿童中. 早期识别和管理至关重要,以防止诸如新血管绿内障之类的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 遗传学 遗传学是一种遗传学.
- 儿科 儿科 儿科
背景情况:
- 视网膜血管扩散性瘤 (RVPTs) 是一种罕见的眼部疾病.
- 自体递归视网膜变是一种影响视力的一组遗传性疾病.
- 儿科患者的RVPTs与特定遗传视网膜变症之间的关联尚未得到充分证实.
研究的目的:
- 记录基因确诊的自体递归视网膜变症儿童的RVPT病例.
- 描述这些病例的临床表现,管理和结果.
- 强调在儿科视网膜发育不良症的背景下承认RVPT的重要性.
主要方法:
- 案例系列方法.
- 自体递归视网膜变症的遗传确认 (CEP290,ABCA4,MYO7A).
- 眼科检查,成像和临床随访.
主要成果:
- 三名不相关的女孩 (13-14岁) 经过遗传确认的视网膜发育不良,被诊断患有RVPTs.
- 两个病例 (CEP290相关的朱伯特综合征,ABCA4相关的斯塔格特病) 呈现出单边,无症状,稳定的病变.
- 一个病例 (与MYO7A相关的阿舍尔综合征) 呈现出单边的RVPT,导致排泄性视网膜脱落,新血管玻璃瘤和眼睛疼痛.
结论:
- 在儿童中,RVPTs可能与各种自体递归视网膜变症有关.
- 虽然一些RVPT可能会保持稳定,但其他可能会导致严重的并发症,如排泄性视网膜脱落和新血管玻璃眼.
- 在患有视网膜发育不良的儿科患者中,迅速诊断和对RVPT的警监测对于适当的管理和视觉保存至关重要.
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