中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2009年
1期
58-61
,共4页
sturge-Weber综合征%颜面血管瘤%脉络膜血管瘤%光动力治疗
sturge-Weber綜閤徵%顏麵血管瘤%脈絡膜血管瘤%光動力治療
sturge-Weber종합정%안면혈관류%맥락막혈관류%광동력치료
Sturge-Weber syndrome%Choroidal Hemangioma%Photodynamic Therapy
目的 探讨弥漫性脉络膜血管瘤的诊断、治疗及疗效.方法 回顾分析4例4只眼弥漫性脉络膜血管瘤的诊疗过程与预后.4例患者中男性2例,女性2例.年龄6-19岁,均因弥漫性脉络膜血管瘤而继发渗出性视网膜脱离,其中1例伴青光眼.4例患者中3例伴有同侧颜面部血管痣;3例伴同侧软脑膜血管瘤.一例行药物保守治疗,一例先行3次经瞳孔温热疗法(Transpupillary thermotherapy,TTT)治疗弥漫性脉络膜血管瘤,因无效再行光动力治疗(Photodynamictherapy,PDT);另两例则直接行PDT治疗,治疗次数2-3次.治疗前后观察视力、眼压、眼底及B超等变化.结果 保守治疗者1个月后因眼压持续升高且全视网膜脱离而失明.行PDT治疗者治疗后视网膜下液均完伞吸收,瘤体厚度有不同程度的降低,眼压稳定,视力维持.TTT治疗无效者再行PDT治疗亦能获得相同的效果.结论 虽然PDT治疗不能使肿瘤完全萎缩或消失,但可使浆液性脱离的视网膜复位.维持视力,所以可作为弥漫性脉络膜血管瘤的治疗手段之一.
目的 探討瀰漫性脈絡膜血管瘤的診斷、治療及療效.方法 迴顧分析4例4隻眼瀰漫性脈絡膜血管瘤的診療過程與預後.4例患者中男性2例,女性2例.年齡6-19歲,均因瀰漫性脈絡膜血管瘤而繼髮滲齣性視網膜脫離,其中1例伴青光眼.4例患者中3例伴有同側顏麵部血管痣;3例伴同側軟腦膜血管瘤.一例行藥物保守治療,一例先行3次經瞳孔溫熱療法(Transpupillary thermotherapy,TTT)治療瀰漫性脈絡膜血管瘤,因無效再行光動力治療(Photodynamictherapy,PDT);另兩例則直接行PDT治療,治療次數2-3次.治療前後觀察視力、眼壓、眼底及B超等變化.結果 保守治療者1箇月後因眼壓持續升高且全視網膜脫離而失明.行PDT治療者治療後視網膜下液均完傘吸收,瘤體厚度有不同程度的降低,眼壓穩定,視力維持.TTT治療無效者再行PDT治療亦能穫得相同的效果.結論 雖然PDT治療不能使腫瘤完全萎縮或消失,但可使漿液性脫離的視網膜複位.維持視力,所以可作為瀰漫性脈絡膜血管瘤的治療手段之一.
목적 탐토미만성맥락막혈관류적진단、치료급료효.방법 회고분석4례4지안미만성맥락막혈관류적진료과정여예후.4례환자중남성2례,녀성2례.년령6-19세,균인미만성맥락막혈관류이계발삼출성시망막탈리,기중1례반청광안.4례환자중3례반유동측안면부혈관지;3례반동측연뇌막혈관류.일례행약물보수치료,일례선행3차경동공온열요법(Transpupillary thermotherapy,TTT)치료미만성맥락막혈관류,인무효재행광동력치료(Photodynamictherapy,PDT);령량례칙직접행PDT치료,치료차수2-3차.치료전후관찰시력、안압、안저급B초등변화.결과 보수치료자1개월후인안압지속승고차전시망막탈리이실명.행PDT치료자치료후시망막하액균완산흡수,류체후도유불동정도적강저,안압은정,시력유지.TTT치료무효자재행PDT치료역능획득상동적효과.결론 수연PDT치료불능사종류완전위축혹소실,단가사장액성탈리적시망막복위.유지시력,소이가작위미만성맥락막혈관류적치료수단지일.
Objective To discuss the diagnosis,treatments and their efficacy for diffuse choroidal he-mangioma(CH).Methods Four patients (4 eyes), age from 6 to 19 years old, with diffuse CH and exudative retinal detachment were reviewed.One presented with glaucoma.Three cases associated with facial nevus flam-meus and three with combination of leptomeningeal venous angiomatosis.One case received conservative treat-ment with medication.Photodynamic therapy (PDT)was performed 2 or 3 times as an initial treatment in two cases and as secondary treatment after failure of Transpupillary thermotherapy (TTT)in another case.Visual acuity, intraocular pressure (IOP), fundus photography and B-scan ultrasonography were examined before and after treatment.Results Patient with conservative treatment finally got blind one month later because of per-sistence of high lOP and complete retinal detachment.While in PDT cases, totally absorption of subretinal flu-id,partially reduction of tumor, stabilization of IOP and visual acuity were achieved after treatment.PDT was also effective in case after failure of TTT.Conelusion Though tumor could not disappear thoroughly, subreti-ual fluid could be absorbed and visual acuity could be stabilized after PDT.It may be a useful alternative treat-ment for diffuse CHs.
