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視網膜合併色素上皮細胞缺陷瘤－病例報告
Combined Hamartoma of the Retina and Retinal Pigment Epithelium-Case Report
摘要
本文報告一例19歲男性，主訴左眼視力模糊有半年餘。眼底檢查發現視網膜上有微隆起灰色病灶，範圍從視神經盤延伸至黃斑部，表面蓋有灰白色網膜前纖維膠質膜。螢光血管攝影顯示出網膜血管扭曲變形，晚期有螢光滲漏的現象，證實為視網膜合併色素上皮細胞缺陷瘤。我們對這罕見病例之表現作詳細探討。
關鍵字
無資料並列摘要
Combined hamartoma of the retina and RPE is an unusual benign congenital retinal tumor composed of neural retina, retinal pigment epithelium, retinal blood vessels, and vitreoretinal membranes. It tends to be unilateral and unifocal, but it can be familial tendency. It charactristically involves the juxtapapillary retina, macula, or both, and frequently causes moderate to profound visual impairment in the affected eye. We report a case of 19 year-old man with complaint of blurred vision for 6 months in his left eye. Fundus examination revealed typical combined hamartoma of the retina with epiretinal gliosis. Fluorescein angiography showed hypofluorescence in the arterial phase, hyperfluorescence and marked intralesional vascularity and vascular tortuosity in the venous phase, and fluorescence leakage in the late phase. Observation was employed, and, visual acuity was not worse. We discuss the presence and management of this rare case detailedly.
延伸閱讀
- 蔡三章、廖士傑、劉榮宏、吳俊昇、趙勝基（1994）。視網膜色素上皮破裂合併視網膜下出血－病例報告。中華民國眼科醫學會雜誌，33(2)，259-265。https://doi.org/10.30048/ACTASOS.199406.0019
- 陳揚裕、吳愛卿、陳宏任（1997）。色素性網膜症合併視神經盤水腫―病例報告。中華民國眼科醫學會雜誌，36(1)，63-68。https://doi.org/10.30048/ACTASOS.199703.0012
- Chang, Y. C., & Tsai, R. K. (2009). 單側視神經盤疣合併視網膜色素層缺陷瘤－病例報告. The Kaohsiung Journal of Medical Sciences, 25(1), 40-44. https://www.airitilibrary.com/Article/Detail?DocID=1607551X-200901-25-1-40-44-a
- 鄭宜秀、高啟祥、楊中美、侯平康、吳國治、黃秀芬（1996）。色素性睫狀體神經鞘瘤－病例報告。中華民國眼科醫學會雜誌，35(1)，100-104。https://doi.org/10.30048/ACTASOS.199603.0018
- Chen, S. L., & Liao, H. R. (1987). Juxtapapillary Retinal Angioma-A Case Report. 中華民國眼科醫學會雜誌, 26(2), 555-559. https://doi.org/10.30048/ACTASOS.198705.0099