Spontaneous Resolution of Associated Epiretinal Membrane after Treatment of Peripheral Retinal Angioma-A Case Report

伴隨視網膜血管瘤的上視網膜增生膜自發性緩解－病例報告

胡智菱(Chih-Ling Hu) ； 彭凱鈴(Kai-Ling Peng)

《中華民國眼科醫學會雜誌》 53卷1期 (2014/04) Pp. 40-47

https://doi.org/10.30048/ACTASOS.201404_53(1).0007

摘要

目的：報告一例伴隨視網膜血管瘤的上視網膜增生膜自發性緩解。方法：病例報告。結果：一位25歲女性因視力模糊至眼科就診，診斷為周邊視網膜血管瘤合併上視網膜增生膜。針對視網膜血管瘤周邊的漿液性視網膜剝離以雷射光凝固治療後，上視網膜增生膜於一個月後自發緩解。隨後針對腫瘤施行冷凍療法及玻璃體內注射癌思停（Avastin）兩次後，其周邊視網膜血管瘤萎縮。但是又再一次產生上視網膜增生膜，而此上視網膜增生膜於二個月後又自發緩解。結論：周邊視網膜血管瘤經治療萎縮後，上視網膜增生膜可能自發性緩解。

並列摘要

Purpose: To report a case of spontaneous resolution of epiretinal membrane associated with peripheral retinal angioma. Methods: Case report. Results: A 25-year-old woman without any previous history of ocular trauma or intraocular inflammation presented with a macular epiretinal membrane associated with peripheral retinal angioma and localized exudative retinal detachment around the tumor. The dense yellow-white epiretinal membrane extended from the disc to the macular area and supratemporal arcade. First, photocoagulation around the peripheral retinal angioma was performed to prevent the progression of exudative retinal detachment. Epiretinal membrane spontaneously resolved a month later. Then, intravitreal injection of bevacizumab combined with cryotherapy was performed twice. The tumor gradually shrink, and superficial hemorrhage resolved thereafter. However, epiretinal membrane recurred. Fortunately, it resolved spontaneously after two months without further recurrence. Conclusions: After obliteration of peripheral retinal angioma combined with intravitreous injection of bevacizumab, epiretinal membrane may regress spontaneously.

並列關鍵字

epiretinal membrane ； peripheral retinal angioma