糖尿病視網膜病變在玻璃體切除手術後發生視網膜前膜退縮－病例報告

Regression of Epiretinal Membrane after Triamcinolone-Assisted Vitrectomy in Proliferative Diabetic Retinopathy-A Case Report

張庭嘉(Ting-Jia Chang) ； 林治文(Chih-Wen Lin) ； 蔡景耀(Ching-Yao Tsai) ； 劉秀雯(Shiow-Wen Liou) ； 翁林仲(Lin-Chung Woung) ； 郭麗琳(Li-Lin Kuo)

《中華民國眼科醫學會雜誌》 45卷2期 (2006/06) Pp. 125-129

https://doi.org/10.30048/ACTASOS.200606.0010

摘要

目的：我們報告－增殖性糖尿病視網膜病變之患者，於接受triamcinolone acetonide(TA)輔助性玻璃體切除術後發生自發性視網膜前膜退縮之現象。
方法：病例報告。
結果：一名39歲之男性，其左眼患有增殖性糖尿病視網膜病變合併有玻璃體出血。該患眼於施行TA輔助性玻璃體切除術後第一天，TA沉積於尚未移除之視網膜前膜邊緣，並逐漸產生蜷曲、與視網膜分離之現象。術後6周，患眼之玻璃體腔澄明，且術中未移除之視網膜前膜已完全退縮。術後1年，其患眼之視力與眼壓依然保持穩定，未產生不良反應。
結論：我們觀察到病患接受TA輔助性玻璃體切除術之後，TA附著之視網膜前膜產生自行退縮之現象，且無併發其他之不良影響。

並列摘要

Purpose: We described a case demonstrating spontaneous regression of epiretinal membrane after a triamcinolone acetonide (TA)-assisted vitrectomy for proliferative diabetic retinopathy.
Methods: Case reports.
Results: A 39-year-old Taiwanese man with nonclearing vitreous hemorrhage of proliferative diabetic retinopathy in his left eye underwent a TA-assisted vitrectomy. The next day after surgery, deposition of TA over the rolled edge of the non-peeled epiretinal membrane was noted. One month later, the vitreous was observed to be clear and total regression of the membrane was also observed.
Conclusion: Regression of TA-coated epiretinal membrane was observed without apparent adverse effect in this case.

並列關鍵字

epiretinal membrane ； proliferative diabetic retinopathy ； triamcinolone acetonide ； vitrectomy