急性髓细胞白血病相关视网膜下出血的手术移位

AJO International Pub Date : 2024-04-24 DOI:10.1016/j.ajoint.2024.100017

Melis Kabaalioglu Guner, Kevin Ferenchak, Sophie J. Bakri

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引用次数: 0

摘要

目的报告一名急性粒细胞白血病（AML）患者通过玻璃体旁切除术（PPV）和视网膜下组织纤溶酶原激活剂（tPA）治疗厚层玻璃体下出血的移位情况。他接受了 23 号 PPV、视网膜下 tPA 注射和视网膜下出血气液置换术。术后他的眼窝视网膜下出血和视力有所改善，但术后晚期出现玻璃体出血。他接受了 23 号 PPV、视网膜下 tPA 注射和视网膜下出血气液置换术。结论和重要性这篇新颖的病例报告记录了用PPV和视网膜下tPA成功置换与急性髓系白血病相关的视网膜下出血。

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Surgical displacement of subretinal hemorrhage associated with acute myeloblastic Leukemia

Purpose

To report displacement of thick submacular hemorrhage with pars plana vitrectomy (PPV) and subretinal tissue plasminogen activator (tPA) in a patient with Acute Myeloblastic Leukemia (AML).

Design and Methods

Case report.

Results

A 65-year-old man with a new diagnosis of AML developed significant intraretinal hemorrhages in both eyes; subretinal and sub-inner limiting membrane (ILM) hemorrhage in the left eye. He underwent 23-gauge PPV, subretinal tPA injection, and air-fluid exchange for subretinal hemorrhage. Foveal subretinal hemorrhage and visual acuity improved after surgery, but he had late post-operative vitreous hemorrhage.

Observations

Conclusions and Importance

This novel case report documents successful displacing subretinal hemorrhage associated with AML with PPV and subretinal tPA.

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来源期刊

AJO International

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