牽牛花症侯群併網膜剝離之處理

目的：評估牽牛花症侯群併網膜剝離(retinal detachment in morning glory syndrome)經過手術治療後，在解剖學上及功能上的預後。方法：此項回溯性的研究(retrospective study)共收集自1996年至2000年間所有在臺大醫院因牽牛花症侯群併網膜剝離而接受手術者，共六個病人六隻眼睛。追蹤時間從1個月至4年，共3男3女，除了一位女士為45歲外，其它人皆小於9歲。最初的治療包括經坦部玻璃體切除術（四隻眼睛），360度鞏膜扣環術（一隻眼睛），及冷凍治療（一隻眼睛），及雷射治療（一隻眼睛）。六隻眼睛中五隻皆有用C3F8氣體充填術。結果：未有術中的併發症。六隻眼中有四隻發現網膜裂孔。五隻眼睛於初次術後即成功再附著回去。四隻眼睛在術後平均11.7個月又再度發生網膜剝離，在接受二次手術併矽油充填後均成功再附著。但術後視力未有明顯進步。結論：對於牽牛花症侯群併網膜剝離，以玻璃體切除術併鞏膜和環及氣體充填來治療，可達到解剖學上的成功，但復發可能性高且視力恢復仍差。

關鍵字

無資料

並列摘要

Purpose: To evaluate the anatomical and functional outcome on the retinal detachment in morning glory syndrome after surgical treatment. Methods: A series of 6 eyes in 6 patients underwent surgery from 1996~2000 for morning glory syndrome with retinal detachment were identified and evaluated in a retrospective study. Follow-up time varied from 1 month to 4 years. There were 3 males and 3 females, and all cases were young age (＜9 y/o) except one (45 y/o). The initial treatment included pars plana vitrectomy (4 eyes), 360 degree encircling buckle with cryotherapy (1 eye), and focal laser around the disc due to initial focal shallow retinal detachment (1 eye). C3F8 tamponade were used in 5 cases. Result: No intraoperative complication was noted. Retinal breaks were identified in 4 of six eyes. Five eyes were reattached initially after the surgery. Four eyes developed recurrent retinal detachment at mean 11.7 months postoperatively. Those 4 eyes had successful secondary operation with silicone oil tamponade. There were no obvious visual acuity improvement compared to the pre-operative poor visual acuity. Conclusion: Vitreous surgery with buckle and gas or silicone oil tamponade helps to achieve the anatomical success in the morning glory syndrome with retinal detachment. The surgery had little help for improving the visual acuity.

並列關鍵字

morning glory syndrome ； retinal detachment

國際替代計量

牽牛花症侯群併網膜剝離之處理

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