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Vitrectomy Combined with Internal Limiting Membrane Peeling for the Treatment of Hemorrhagic Retinal Arterial Macroaneurysm with "Multilayered" Hemorrhages

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机构: [1]Department of Ophthalmology, Tianjin Medical University General Hospital, Ministry of Education International Joint Laboratory of Ocular Diseases, Tianjin Key Laboratory of Ocular Trauma, Tianjin Institute of Eye Health and Eye Diseases, Tianjin, China. [2]Department of Ophthalmology, The First Affiliated Hospital of Dali University, Dali, Yunnan, China. [3]Department of Ophthalmology, Mayo Clinic College of Medicine, Minnesota, USA. [4]Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. [5]Department of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. [6]Department of Ophthalmology, Laboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, China.
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关键词: Hemorrhagic internal limiting membrane multilayered hemorrhages retinal arterial macroaneurysm vitrectomy

摘要:
To report clinical outcomes of pars plana vitrectomy combined with internal limiting membrane (ILM) peeling in the treatment of "multilayered" hemorrhages caused by hemorrhagic retinal arterial microaneurysm (RAM) in three cases.Three patients with hemorrhagic RAM were reviewed. All patients underwent vitrectomy combined with ILM peeling. The diagnosis of RAM was confirmed by fluorescein angiography and optical coherence tomography after surgery.All patients had yellowish-white prominent lesions with preretinal, intraretinal, and subretinal hemorrhaging with or without macular edema. Several months after the vitrectomy, the multilayered hemorrhages resolved without recurrent hemorrhage in the macular area. The exudative retinal detachment and macular edema associated with the RAM resolved, and eventually the RAM resolved, leaving behind white fibrous tissue. The visual acuity was improved in all patients.Vitrectomy combined with ILM peeling was an option for the treatment of RAM with "multilayered" hemorrhages. Postoperative visual acuity and anatomical structure were improved.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
第一作者:
第一作者机构: [1]Department of Ophthalmology, Tianjin Medical University General Hospital, Ministry of Education International Joint Laboratory of Ocular Diseases, Tianjin Key Laboratory of Ocular Trauma, Tianjin Institute of Eye Health and Eye Diseases, Tianjin, China. [2]Department of Ophthalmology, The First Affiliated Hospital of Dali University, Dali, Yunnan, China.
通讯作者:
通讯机构: [1]Department of Ophthalmology, Tianjin Medical University General Hospital, Ministry of Education International Joint Laboratory of Ocular Diseases, Tianjin Key Laboratory of Ocular Trauma, Tianjin Institute of Eye Health and Eye Diseases, Tianjin, China. [6]Department of Ophthalmology, Laboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, China.
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