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Branch retinal artery occlusion associated with photodynamic therapy in a circumscribed choroidal haemangioma

机译:局限性脉络膜血管瘤中视网膜分支动脉阻塞与光动力治疗相关

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We report a case with retinal arteriole occlusion after a single photodynamic therapy (PDT). A 33-year-old man presented with decreased visual acuity of the right eye, 20/200, for four months. Diagnosed as circumscribed choroidal haemangioma (CCH), he was treated with the PDT. Specifically, 6mg/m~2 of verteporfin was administered intravenously in 10min. Laser treatment was performed 15min after the infusion with an exposure of 75J/cm~2 for 125 s. The patient was followed up a week later and then every month for 5 months. Complaining about central visual field defect two days post treatment, he was diagnosed with inferior macular artery occlusion with FA. After three months further treatment, the tumor regressed completely but local retinal atrophy was observed. The best corrected visual acuity (BCVA) was 20/30 with visual field defect. Following this, extensive blood tests were performed, revealing no abnormality. Our result indicates that under certain conditions infarction of retinal arterioles can develoD followine PDT.
机译:我们报告了单光动力疗法(PDT)后视网膜小动脉闭塞的情况。一名33岁的男性患者右眼视力下降20/200,持续四个月。他被诊断为外接脉络膜血管瘤(CCH),接受了PDT治疗。具体地,在10分钟内静脉内施用6mg / m 2的维替泊芬。输注后15min进行激光治疗,暴露75J / cm〜2持续125 s。一周后对患者进行随访,然后每月随访5个月。在治疗后两天抱怨中央视野缺损,他被诊断出患有FA的黄斑下动脉阻塞。经过三个月的进一步治疗,肿瘤完全消退,但观察到局部视网膜萎缩。具有视野缺损的最佳矫正视力(BCVA)为20/30。此后,进行了广泛的血液检查,没有发现异常。我们的结果表明,在一定条件下,视网膜小动脉梗塞可以发展继发性PDT。

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