慢性难治性特发性血小板减少性紫癜患者双侧大量玻璃体视网膜出血  

Massive bilateral vitreoretinal hemorrhage in patient with chronic refractory idiopathic thrombocytopenic purpura

作　　者：Okuda A. Inoue M. Shinoda K. Tsubota K. 王永强(译) 

机构地区：[1]不详 [2]Department of Ophthalmology, Keio University of School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第6期27-27,共1页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：Background: We describe a patient with chronic,refractory idiopathic thrombocytopenic purpura (ITP) who developed massive vitreoretinal hemorrhages in both eyes. Methods: A 49-year-old woman complained of an acute decrease of vision,and ophthalmoscopy revealed bilateral preretinal and subretinal hemorrhages around the optic disc. Her platelet counts were less than 5000/μ l in spite of repetitive administration of corticosteroids and immunoglobulins with splenectomy for the chronic refractory ITP. One month later,she developed massive vitreoretinal hemorrhages bilaterally,and vision decreased to hand-motion. Results: Vitrectomy was performed on both eyes after medical treatment to increase platelet counts. The intraretinal hemorrhages were absorbed from the area around the disc and vision recovered to 20/100 in the right eye and 20/2000 in the left after one month. Conclusion: Massive vitreoretinal hemorrhages can develop in patients with chronic refractory ITP,and vitrectomy can be beneficial for this condition.Background： We describe a patient with chronic, refractory idiopathic thrombocytopenic purpura （ITP） who developed massive vitreoretinal hemorrhages in both eyes. Methods： A 49-year-old woman complained of an acute decrease of vision, and ophthalmoscopy revealed bilateral preretinal and subretinal hemorrhages around the optic disc. Her platelet counts were less than 5000μl in spite of repetitive ad- ministration of corticosteroids and immunoglobulins with splenectomy for the chronic refractory ITP. One month later, she developed massive vitreoretinal hemorrhages bilaterally, and vision decreased to hand-motion. Results： Vitrectomy was performed on both eyes after medical treatment to increase platelet counts. The intraretinal hemorrhages were absorbed from the area around the disc and vision recovered to 20/100 in the right eye and 20/2000 in the left after one month. Conclusion： Massive vitreoretinal hemorrhages can develop in patients with chronic refractory ITP, and vitrectomy can be beneficial for this condition.

关 键 词：慢性难治性特发性血小板减少性紫癜 玻璃体切除手术 视网膜出血 女性患者 特发性血小板减少性紫癜(ITP) 双侧 慢性难治性ITP 视乳头周围 脾切除治疗 血小板计数 

分 类 号：R779.6[医药卫生—眼科]