Prognostic Factors of Vitreous Hemorrhage Secondary to Exudative Age-Related Macular Degeneration
スポンサーリンク
概要
- 論文の詳細を見る
PURPOSE: Vitreous hemorrhage (VH) is a rare but serious complication of theeyes with exudative age-related macular degeneration (AMD). This retrospectivestudy was designed to evaluate various clinical factors that may affect the visualprognosis of patients with VH secondary to exudative AMD.DESIGN: Retrospective case study.METHODS: We intensively documented 31 cases of VH secondary to exudativeAMD and retrospectively analyzed best-corrected visual acuity (BCVA). All eyesunderwent standard pars plana vitrectomy (PPV) for treating VH. Three subgroupswere created according to the clinical course and treatment history before theoccurrence of VH: (1) Gas group (7 eyes), Pneumatic displacement with SF6 gasperformed to treat massive submacular hemorrhage; (2) PDT group (9 eyes),Photodynamic therapy performed to treat exudative AMD; (3) Untreated group (15eyes), No treatment performed.RESULTS: As a whole, BCVA before the occurrence of VH was 1.05±0.59(LogMAR). After the occurrence of VH, BCVA before PPV dropped to 2.61±0.82.After the operation, final BCVA significantly improved to 1.25±0.73 (P<10-8). In asubgroup analysis, no statistically significant difference was seen among the threesubgroups at any time point. We found that the eyes whose fellow eye hadexudative AMD showed significantly poor final BCVA compared to the unilateralcases (0.92±0.57 and 1.49±0.72, P=0.02).CONCLUSIONS: PPV can improve visual acuity in the eyes with VH secondary toAMD, although effectiveness is limited. Medical practitioners should be cautious ofthe visual prognosis, especially in the cases whose fellow eye has exudative AMD.
- 2010-02-01
論文 | ランダム
- 66)Early repolarization variantの左室造影について : 日本循環器学会第110回関東甲信越地方会
- 53) PG-E_1を投与した肺塞栓症の1例 : 日本循環器学会第109回関東甲信越地方会
- 64)急性心筋梗塞における肺水腫とフォレスター分類との解離の機序について : 日本循環器学会第107回関東甲信越地方会
- 心断層エコー法により, 冠動静脈瘤内に血栓を検出しえたMCLSの1例 : 日本循環器学会第105回関東甲信越地方会
- 血液培養およびIVHカテーテル培養より分離された緑膿菌の臨床背景、病原因子および分子疫学的検討