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CASE REPORT OF SEVERE PROLIFERATIVE RETINOPATHY IN A PATIENT WITH CONGENITAL LIPODYSTROPHY

机译:先天性唇脂患者严重增殖视网膜病变的病例报告

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Purpose: A case report of a patient with severe proliferative retinopathy due to congenital lipodystrophy. Methods: We reviewed the medical history, imaging, and surgical procedures of a 25-year-old woman with a history of congenital lipodystrophy, presenting with bilateral combined tractional and exudative retinal detachment, poorly controlled diabetes mellitus, and extreme dislipidemia. Results: The patient underwent retinal detachment repair surgery both eyes. On the last follow-up, both retinae were flat, and visual acuity had improved in the right eye to J3 for near and finger counting 3 m for distance. Conclusion: Surgery combining pars plana vitrectomy and scleral bucking successfully flattened both retinae and significantly improved visual acuity in one eye in this case of bilateral retinal detachment with combined tractional and exudative components in a patient with congenital lipodystrophy. Surgical control of retinal complications is thus possible, provided there is adequate control of the underlying risk factors.
机译:目的:由于先天性脂肪蓄水管,具有严重增殖视网膜病变的患者的病例。方法:我们审查了一个25岁女性的病史,成像和外科手术,患有先天性脂肪蓄水池的历史,呈现双侧联合课外牵引性视网膜脱离,糖尿病患者不良,令人存在的糖尿病,以及极端的不缺乏症。结果:患者接受视网膜脱离修复手术双眼。在最后一次随访中,两种视网膜都是平坦的,视力在右眼到J3改善了J3,用于近乎指向3米的距离。结论:手术结合Pars Plana Vertectomy和Scleral Bucking在这种情况下,在一只眼睛视网膜脱离与先天性脂肪蓄水池中的患者中的牵引和渗透组分中的双侧和渗透组分的情况下,在一只眼中成功扁平,显着改善了视力。因此,提供了视网膜并发症的手术控制,提供了对潜在的危险因素的充分控制。

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