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以冷凍療法及經瞳孔熱療法治療一位von Hipple-Lindau疾病患者的視網膜大血管瘤

Cryotherapy with Adjuvant Transpupillary Thermotherapy for a Large Retinal Hemangioma in a Case with Von Hipple-Lindau Disease

摘要


目的:報告一位von Hipple-Lindau (VHL) disease 病例,使用冷凍治療與經瞳孔熱療法(Transpupillary thermotherapy, TTT)治療其大型視網膜血管瘤的成效。 方法:病例報告 結果:一位VHL disease患者,合併一大於3 個視神經盤直徑(disc diameter)的視網膜血管瘤,在使用冷凍療法一個月之後,再給予4次經瞳孔熱療法治療,4次經瞳孔熱療法每相隔一個月施行。在14個月後的追蹤,其血管瘤已經完全消失,且沒有復發與併發症。 結論:使用冷凍療法合併經瞳孔熱療法能有效治療3個視神經盤直徑大的視網膜血管瘤。

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並列摘要


Purpose: To report a case of von Hipple-Lindau (VHL) disease treated with cryotherapy combined with transpupillary thermotherapy (TTT) for large retinal hamangioma. Method: A case report. Result: A patient with VHL disease had a large retinal hemangioma (> 3 disc diameter). The tumor was treated by cryotherapy followed by four episodes of TTT at monthly intervals. After 14 months of follow-up, retinal hemangioma had regressed, and no recurrence or complications were found. Conclusion: Cryotherapy and TTT may be effective in treating a large retinal hemangioma.

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