血管增殖性视网膜肿瘤对非侵入性治疗的手术效果。

Virginia Mares, Carlos E Veloso, Jose S Pulido, Marcio B Nehemy
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摘要

目的:探讨难治性血管增殖性视网膜肿瘤(vpt)的手术治疗效果及其并发症。方法:回顾性分析2005 ~ 2020年所有经手术治疗的VPTs患者的临床资料。评估临床特征、手术技术和结果。结果:23例VPTs患者25眼中,17眼(68%)行手术治疗肿瘤活动性及相关并发症,包括视网膜前膜(n = 10, 59%)、视网膜脱离(n = 8, 47%)和玻璃体出血(n = 3, 18%)。所有眼均行玻璃体切除伴激光/冷冻治疗,以控制肿瘤活动和治疗相关并发症。3例需要切除肿瘤。随访结束时(平均55.4个月,范围2-305个月),1 - 2次手术后无肿瘤活动或视网膜脱离。无视网膜前膜复发。平均基线最佳矫正视力为1.2±0.7 logMAR,平均最终最佳矫正视力为0.7±0.6 logMAR (P < 0.05)。随访结束时,12只(70.5%)眼的最佳矫正视力提高了2条或更多线。结论:在这一系列的大活动性vpt患者中,手术干预可以控制所有患者的肿瘤活动性,并提供总体满意的解剖和功能结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SURGICAL OUTCOMES OF VASOPROLIFERATIVE RETINAL TUMORS' REFRACTORY TO NONINVASIVE THERAPIES.

Purpose: To evaluate the outcomes of surgical treatment of refractory vasoproliferative retinal tumors (VPTs) and its complications.

Methods: Clinical charts of all patients diagnosed with VPTs who underwent surgical treatment from 2005 to 2020 were reviewed. Clinical features, surgical techniques, and outcomes were evaluated.

Results: From 25 eyes of 23 patients with VPTs, 17 (68%) eyes underwent surgical intervention to treat tumor activity and associated complications including epiretinal membrane (n = 10, 59%), retinal detachment (n = 8, 47%), and vitreous hemorrhage (n = 3, 18%). All eyes underwent pars plana vitrectomy with endolaser/cryotherapy to control tumor activity and to treat associated complications. Three cases required tumor resection. At the end of follow-up (mean 55.4 months, range 2-305 months), no eye presented tumor activity or retinal detachment after one or two surgeries. There was no epiretinal membrane recurrence. The mean baseline best-corrected visual acuity was 1.2 ± 0.7 logMAR, and the mean final best-corrected visual acuity was 0.7 ± 0.6 logMAR ( P < 0.05). The best-corrected visual acuity improved two or more lines in 12 (70.5%) eyes at the end of follow-up.

Conclusion: In this series of patients with large active VPTs, surgical intervention allowed control of the tumor activity in all patients and provided overall satisfactory anatomic and functional outcomes.

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