殘遺原發性玻璃體增殖

Posterior Hyperplastic Primary Vitreous

黎明(Ming Lee) ； 文良彥(Liang-Yem Wen)

《中華民國眼科醫學會會刊》 18卷 (1979/05) Pp. 45-48

https://doi.org/10.30048/ACTASOS.197905.0008

摘要

殘遺原發性玻璃體增殖(PHPV)甚為罕見，尤其後型(posterior from)極易令吾人感到迷感與混淆。本文報告五病例，均爲足月懷孕順利生產之嬰兒，皆無使用氣之記錄”病眼都是單側，角膜均較正常眼為小，前房正常，無睫狀突伸長之現象，水晶體可見發生混濁。其特徵爲玻璃體內有一血管纖維束，由視神經乳突向前方延伸，直到晶體。螢光血管造影可見玻璃樣動脈仍然開放通楊。所有病眼之視力皆極差，不及有用視力。本文分析其臨床之觀察結果，並作討論，綜合作成報告。

並列摘要

From 1959 to 1979 we havd encountered 5 cases of posterior hyperplastic primary vitreous. They ranged from 8 month to 18 years of age, with characteristic of full term normal delivery babies, no history of oxygen therapy, unilateral microphthalmos, normal anterior segments except mild posterior capsular opacities owing to invading fibrovascular tissue. There were thick fibrovascular stalks containing accentuated hyaloid arteries and retinal folds extended from the optic disk to the retrolental region. The longest followup was 14 years. Fluorescein angiogram was done in one case, the oldest one who could stand the procedure, showing patency of the hyaloid artery. The possibilities and the approach of treatment by vitrectomy and outcoming were briefly ciscussed and evaluated.

並列關鍵字

PHPV persistent hyperplastic primary vitreous or posterior hyperplastic primary vitreous. microcornea ； hyaloid system ； retinal fold