망막모세혈관종 환자에서 발생한 전층황반원공 1예
A Full-Thickness Macular Hole in a Female Adult with Bilateral Retinal Capillary Hemangiomas
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목적: 양안에서 망막모세혈관종이 진단된 여자 환자의 우안에서 발생한 전층황반원공을 유리체절제술로 치료한 증례를 경험하여 보고하는 바이다. 증례요약: 양안의 망막모세혈관종으로 경과 관찰 중이던 20세 여자 환자가 수개월 전부터 시작된 우안의 시력저하를 주소로 내원하였다. 검사상 양안에서 하측 주변부 망막에 각각 2유두직경 크기와 1유두직경 크기의 모세혈관종과 망막실핏줄확장 및 경성삼출물이발견되었고 우안의 황반중심부에서는 경도의 망막전막 및 절박황반원공 소견이 보였다. 이후 경과 관찰한 지 4개월 후 전층황반원공으로 진행하여 유리체절제술을 시행하였고 전층황반원공은 폐쇄되고 시력 호전되었다.
Abstract
Purpose: We report a case of a full-thickness macular hole treated in a female adult with bilateral retinal capillary hemangiomas. Case summary: A 20-year-old woman with bilateral retinal capilliary hemangiomas presented with blurred vision in her right eye. A thin epiretinal membrane and impending macular hole were found that did not appear to be related with a 2-disc-diameter-sized retinal angioma, telangiectactic vessels, and hard exudates in the lower retinal area of her right eye. Four months later, optical coherence tomography revealed a full-thickness macular hole in her right eye. A vitrectomy was performed, and the full-thickness macular hole was completely resolved.
참고문헌 (10)
- Ridley M, "Retinal angiomatosis: the ocular manifestations of von Hippel-Lindau disease", Can J Ophthalmol, 21, pp.276~283 (1986)
- Wing GL, "Von Hippel-Lindau disease: angiomatosis of the retina and central nervous system", Ophthalmology, 88, pp.1311~1314 (1981)
- Raju B, "von Hippel angioma in South Indian subjects--a clinical study", Retina, 23, pp.670~674 (2003)
- Inoue M, "A clinicopathologic case report on macular hole associated with von Hippel-Lindau disease: a novel ultrastructural finding of wormlike, wavy tangles of filaments", Graefes Arch Clin Exp Ophthalmol, 242, pp.881~886 (2004)
- Carr RE, "Retinal angiomatosis", Ophthalmology, 87, pp.956~ (1980)
- Singh A, "Solitary retinal capillary hemangioma: hereditary (von Hippel-Lindau disease) or nonhereditary?", Arch Ophthalmol, 119, pp.232~234 (2001)
- Schwartz PL, "Management of macular puckers associated with retinal angiomas", Ophthalmic Surg, 21, pp.550~556 (1990)
- Takahashi A, "Foveal anatomic changes in a progressing stage 1 macular hole documented by spectral-domain optical coherence tomography", Ophthalmology, 117, pp.806~810 (2010)
- Schwartz PL, "Macular pucker and retinal angioma", Ophthalmic Surg, 18, pp.677~679 (1987)
- McDonald HR, "Vitrectomy in eyes with peripheral retinal angioma associated with traction macular detachment", Ophthalmology, 103, pp.329~335 (1996)