期刊文献+
共找到1篇文章
< 1 >
每页显示 20 50 100
“万艾可”相关性黄斑浆液性脱离
1
作者 QuiramP. dumars S. +2 位作者 Parwar B. sarraf d. 王海燕 《世界核心医学期刊文摘(眼科学分册)》 2005年第10期37-38,共2页
Purpose: To describe the OCT findings in two cases of idiopathic serous macula r detachments associated with Sildenafil (Viagra) use. Methods: Two patients wer e identified with idiopathic serous macular detachments a... Purpose: To describe the OCT findings in two cases of idiopathic serous macula r detachments associated with Sildenafil (Viagra) use. Methods: Two patients wer e identified with idiopathic serous macular detachments associated with Viagra u se. Each patient underwent rigorous historical questioning to rule out known cau ses of serous macular detachments and to determine contributing factors. A compr ehensive ocular examination was performed including dilated biomicroscopic exami nation of the macula and indirect ophthalmoscopic evaluation of the retinal peri phery. Additional evaluation included color fundus photography with FA and ICG,O CT analysis of the macula and B-scan ultrasonography. Systemicworkup included M RI of the brain and orbits, CT of the brain, orbits, chest and abdomen, blood ch emistries and electrophoresis, lumbar puncture with CSF analysis and chest radio graphs. Results: Both patients demonstrated idiopathic serous macular detachment associated with peri-macular vitelliform deposits. Although notable peripapill ary atrophy and RPE mottling were present, there was no evidence of heme, exudat e, or fibrosis to suggest a CNVM. FA showed no focal areas of leakage. Early and late frames of the ICG demonstrated engorged choroidal vessels without frank le akage. Extensive medical evaluation failed to reveal a systemic etiology. OCT fi ndings demonstrated large serous macular detachments that corresponded to the us e or discontinuation of Viagra. Discontinuation of Viagra coincided with complet e resolution of the serous macular detachment in one patient and improvement of the serous macular detachment in the other. When one patient resumed Viagra use, he experienced a recurrent serous macular detachment. Conclusions: We report th e OCT findings of two cases of idiopathic serous macular detachment associated w ith use of the potent vasodilator Sildenafil (Viagra). 展开更多
关键词 浆液性脱离 黄斑部 万艾可 眼部检查 黄斑区 渗漏点 间接检眼镜 脉络膜新生血管 生物显微镜 血液化学
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部