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首页> 美国卫生研究院文献>Case Reports in Ophthalmology >A Case of Pneumatic Displacement with Gas Tamponade Performed for Macular Subretinal Hemorrhage Complicating Vogt-Koyanagi-Harada Disease
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A Case of Pneumatic Displacement with Gas Tamponade Performed for Macular Subretinal Hemorrhage Complicating Vogt-Koyanagi-Harada Disease

机译：黄斑性视网膜下出血并发Vogt-Koyanagi-Harada病的气填塞气管置换一例

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摘要

We experienced a case of subretinal hemorrhage (SRH) from choroidal neovascularization (CNV) complicating Vogt-Koyanagi-Harada disease (VKH) that underwent pneumatic displacement of hematoma by intravitreal gas injection. A 76-year-old male revealed VKH relapses and optical coherence tomography showed irregular retinal pigment epithelium in his right eye and serous retinal detachment and retinal pigment epithelial detachment in his left eye. Fluorescein angiography of the left eye showed hyperfluorescence possibly attributable to CNV. One month later, SRH occurred in the left eye, yet it was spontaneously absorbed. However, approximately 1 year later, the SRH recurred in the left eye affecting a wide area, including the macular region, and his visual acuity (VA) decreased to 0.06. When pneumatic displacement of the hematoma by intravitreal gas injection was performed, the SRH was inferiorly displaced, and his VA improved to 0.4. Pneumatic displacement with gas tamponade was effective for treating a case of SRH caused by persistent CNV complicating VKH.
机译：我们经历了一例由脉络膜新生血管形成（CNV）引起的视网膜下出血（SRH）并发Vogt-Koyanagi-Harada病（VKH）并通过玻璃体内注气对血肿进行气动置换的案例。一名76岁的男性表现出VKH复发，光学相干断层扫描显示右眼视网膜色素上皮不规则，左眼浆液性视网膜脱离和视网膜色素上皮脱离。左眼的荧光素血管造影显示荧光过度，可能归因于CNV。一个月后，SRH发生在左眼，但被自然吸收。然而，大约一年后，SRH在左眼复发，影响了包括黄斑区在内的广泛区域，并且他的视敏度（VA）降至0.06。当通过玻璃体内注气对血肿进行气动置换时，SRH的置换变差，其VA增至0.4。气垫填塞气置换可有效治疗持续性CNV并发VKH引起的SRH病例。

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