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殘遺原發性玻璃體增殖之手術病例報告
Persistent Hyperplastic Primary Vitreous Surgical Treatment-Case Report
摘要
殘遺原發性玻璃體增殖極為罕見，其中前型(anterior form)常引起青光眼及玻璃體出血而導致眼球的喪失，所以早期的診斷及手術治療對於眼球及視力的保存極為重要。本文報告之病例為足月產之嬰兒，無使用氧氣之記錄；左眼內斜，角膜較正常小，前房較淺，有睫狀突伸長之現象，水晶體混濁且後面有血管纖維膜之形成。病人4個月大時，我們以玻璃體切除器(ocutome)經由角膜緣做水晶體吸除及血管織維膜之切除，術後病眼前房變深，眼底清楚可見，但視力則尚無法評估。
關鍵字
無資料並列摘要
Persistent hyperplastic primary vitreous (PHPV) is a congenital anomaly involving principally the development of the primary vitreous and lens. It was first descirbed as a clinical syndrome by Reese. Left untreated, the natural course of this abnormality often leads to loss of the eye. The purpose of this report is to describe the early successful surgical treatment with aspiration of the lens and excision of the fibrovascular membrane by Ocutome.
延伸閱讀
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