Y Q Chen, X Ye, H Chen, J F Yu, D Cui, M C Zhou, L J Shen
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引用次数: 0
摘要
一名 65 岁的男子左眼视力下降 1 个月。经超广角眼底检查、光学相干断层扫描和 B 超检查,确诊为特发性息肉样脉络膜血管病变引起的出血性视网膜脱离(黄斑下出血)。在眼科手术机器人辅助下,进行了玻璃体切除和视网膜穿刺注射。眼科手术机器人通过微型注射针头在视网膜神经上皮和视网膜色素上皮之间准确注射了重组组织纤溶酶原激活剂。在两个月的随访中,视网膜下出血明显消退,左眼视力从手部运动提高到0.1,未发现其他并发症。
[Ophthalmic surgical robot-assisted retinal puncture and injection for submacular hemorrhage caused by polypoid choroidal vasculopathy: a case report].
A 65-year-old man presented with decreased visual acuity in the left eye for 1 month. The diagnosis of hemorrhagic retinal detachment (submacular hemorrhage), which was caused by idiopathic polypoid choroidal vasculopathy, was confirmed by the ultra-wide-angle fundus examination, optical coherence tomography, and B-ultrasound. A vitrectomy combined with an ophthalmic surgical robot-assisted retinal puncture and injection was performed. The recombinant tissue plasminogen activator was injected accurately by the ophthalmic surgical robot between the retinal nerve epithelium and retinal pigment epithelium through a micro-injection needle. During the 2-month follow-up, the subretinal hemorrhage was significantly regressive, the visual acuity of the left eye was improved from hand movement to 0.1, and no other complications were observed. (This article was published ahead of print on the official website of Chinese Journal of Ophthalmology on March 15, 2024).