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作 者:Xiao-Li Xiang Yi-Hong Cao Ting-Wang Jiang Zheng-Ru Huang
机构地区:[1]Department of Ophthalmology,The Affiliated Changshu Hospital of Xuzhou Medical University,Changshu 215500,Jiangsu Province,China [2]Department of Key Laboratory,The Affiliated Changshu Hospital of Xuzhou Medical University,Changshu 215500,Jiangsu Province,China
出 处:《World Journal of Clinical Cases》2022年第26期9510-9517,共8页世界临床病例杂志
基 金:Supported by Guiding Project of Changshu Health Committee,No.CSWZD202021;Project of the Affiliated Changshu Hospital of Xuzhou Medical University,No.CSEY202125。
摘 要:BACKGROUND Diffuse retinal pigment epitheliopathy(DRPE)associated with bullous retinal detachment is a severe variant of DRPE that is frequently misdiagnosed and often improperly treated.CASE SUMMARY A 36-year-old female patient complained of"painless vision decline in the left eye with obscuration for 10 d".Slit-lamp microscopic fundus examination revealed white-yellow subretinal exudates in the posterior pole in both eyes,retinal detachment with shifting subretinal fluid in the left eye,and no retinal hiatus.Fundus fluorescein angiography revealed multiple subretinal leakage foci and localized hypofluorescent lesions with patched hyperfluorescence.There was fluorescence leakage in the retinal vessels in the retinal detachment area and occluded blood vessels in the lower and peripheral areas.Indocyanine green angiography revealed multifocal lamellar hyperfluorescence in the middle stage and low fluorescence in the retinal detachment area in the late stage.Retinal anatomical reduction significantly improved with intravitreal conbercept injections.CONCLUSION Intravitreal injection of conbercept can anatomically reattach the retina in patients with bullous retinal detachment.
关 键 词:Bullous retinal detachment Conbercept Diffuse retinal pigment epitheliopathy Bullous central serous chorioretinopathy Case report
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