眼科手术机器人辅助视网膜穿刺注药术治疗息肉状脉络膜血管病变所致黄斑下出血1例

Ophthalmic surgical robot-assisted retinal puncture and injection for submacular hemorrhage caused by polypoid choroidal vasculopathy: a case report

1例65岁左眼视力下降1个月男性患者,经超广角眼底检查、相干光层析成像术和B超检查,临床诊断为左眼特发性息肉状脉络膜血管病变致出血性视网膜脱离(黄斑下出血),行玻璃体切除联合眼科手术机器人辅助视网膜穿刺注药术,术中眼科手术机器人通过超精细微型注射针将约0.2 ml阿替普酶精准注入视网膜神经上皮与色素上皮之间。术后随访2个月,黄斑下出血体征明显改善,左眼视力由术前的眼前手动提高至0.1,未见其他并发症,手术效果满意。

A 65-year-old man presented with decreased visual acuity in the left eye for 1 month.The diagnosis of hemorrhagic retinal detachment(submacular hemorrhage),which was caused by idiopathic polypoid choroidal vasculopathy,was confirmed by the ultra-wide-angle fundus examination,optical coherence tomography,and B-ultrasound.A vitrectomy combined with an ophthalmic surgical robot-assisted retinal puncture and injection was performed.The recombinant tissue plasminogen activator was injected accurately by the ophthalmic surgical robot between the retinal nerve epithelium and retinal pigment epithelium through a micro-injection needle.During the 2-month follow-up,the subretinal hemorrhage was significantly regressive,the visual acuity of the left eye was improved from hand movement to 0.1,and no other complications were observed.