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虽然视网膜脱离手术后的并发症多种多样,但尚无合并黄斑部脉络膜新生血管形成的报告。本文报告1例,男65岁,左眼因视网膜脱离先后2次手术治疗,最后视网膜脱离平复,矫正视力0.1,黄斑部无显著变化。8个月后视力降至0.05,眼底可见黄斑部水肿,并可见大小约2PD的新月形视网膜出血和中心凹颞下方有1PD大小的软性白斑。眼底荧光血管造影可见视网膜动脉期在软性白斑内出现淡薄的网状荧光,继而有荧光明显渗漏,软性自斑外黄斑部附近在视网膜动静脉期显示视网膜毛细血管轻度渗漏。诊断为黄斑部脉络膜新生血管形成。本例首次视网膜脱离术后第7天,眼底镜下曾见有黄斑部脉络膜出血。作者估计此种出血是由于视网膜色素上皮层下脉络膜新生血管引起的脉络膜出血或出血性视网膜色素上皮脱离,当时出
There are no reports of macular choroidal neovascularization, although complications after retinal detachment surgery are diverse. This article reports 1 case, male 65 years old, the left eye retinal detachment has 2 times the surgical treatment, and finally retinal detachment recovered, corrected visual acuity of 0.1, macular no significant change. Visual acuity decreased to 0.05 after 8 months. Macular edema was seen in the fundus, and crescent-shaped retinal hemorrhage with a size of about 2 PD and soft leukoplakia with 1 PD in the inferior fossa were observed. Fundus fluorescein angiography shows retinal arterial phase in the soft white spot light reticular fluorescence, followed by a clear fluorescence leakage, since the soft spot outside the macular retinal vein in the retinal arteriovenous phase showed mild capillary leak. Diagnosis of macular choroidal neovascularization. In this case, the first retinal detachment after 7 days, ophthalmoscopy has seen macular choroidal hemorrhage. The authors estimate that this bleeding is due to choroidal neovascularization of the retinal pigment epithelium choroidal hemorrhage or hemorrhagic retinal pigment epithelium detachment, then out