BACKGROUND Combined hamartoma of the retina and retinal pigment epithelium(CHRRPE)is a rare congenital benign tumor which is commonly monocular.Typical CHRRPE comprises slightly raised lesions at the posterior pole,wi...BACKGROUND Combined hamartoma of the retina and retinal pigment epithelium(CHRRPE)is a rare congenital benign tumor which is commonly monocular.Typical CHRRPE comprises slightly raised lesions at the posterior pole,with proliferation membrane often leading to vascular distortion.In severe cases,macular edema,macular hole,retinal detachment or vitreous hemorrhage may occur.Patients with atypical clinical manifestations are prone to misdiagnosis by inexperienced ophthalmologists.CASE SUMMARY A 33-year-old man reported onset of right eye blurred vision for one week prior.Anterior segment and intraocular pressure were normal in both eyes.Left eye fundus photography was normal.Right eye ophthalmoscopy showed vitreous hemorrhage and off-white raised retinal lesions below the optic disc.Proliferative membranes on the lesion surfaces resulted in superficial retinal detachment and tortuosity and occlusion of peripheral blood vessels.A horseshoe-like tear in the temporal periphery was surrounded by retinal detachment.Optical coherence tomography revealed retinal thickening at the focal site with structural disturbance indicated by high reflectance.Right eye ultrasound showed retinal thickening at the lesion,stretching and uplifting of the proliferative membrane,with moderately patchy echo at the optic disc edge.Cytokines and antibodies were detected in vitreous fluids during the operation to rule out other diseases.Fundus fluorescein angiography(FFA)at postoperative follow-up led to final diagnosis of CHRRPE.CONCLUSION FFA is helpful in diagnosing retinal and retinal pigment epithelial combined hamartoma.In addition,other cytokine and etiological tests facilitate further differential diagnosis to rule out other suspected diseases.展开更多
Our previous experiments demonstrated the occurrence of retinal lipidperioxidation following vitreous hemorrhage.In the present study,0.2ml ofautologous whole blood was injected into the vitreous of both eyes in rabbi...Our previous experiments demonstrated the occurrence of retinal lipidperioxidation following vitreous hemorrhage.In the present study,0.2ml ofautologous whole blood was injected into the vitreous of both eyes in rabbits.One eye of each rabbit received an additional injection of 0.2ml of superoxidedismutase (SOD,794 U);the other eye served as a control.The malondialdehyde(MDA) in the retina was assayed with fluorescence spectrophotometry.The resultsshowed that the MDA was significantly lower in eyes injected with SOD (0.047±0.010 nmol/mg) than in control eyes (0.096±0.011 nmol/mg,P【0.05) 10d afterinjection.Ultrastructural examination revealed that the photoreceptor cells of theeyes with SOD injection were relatively normal.It is suggested that SOD can pro-tect the retina from lipid peroxidation.展开更多
文摘BACKGROUND Combined hamartoma of the retina and retinal pigment epithelium(CHRRPE)is a rare congenital benign tumor which is commonly monocular.Typical CHRRPE comprises slightly raised lesions at the posterior pole,with proliferation membrane often leading to vascular distortion.In severe cases,macular edema,macular hole,retinal detachment or vitreous hemorrhage may occur.Patients with atypical clinical manifestations are prone to misdiagnosis by inexperienced ophthalmologists.CASE SUMMARY A 33-year-old man reported onset of right eye blurred vision for one week prior.Anterior segment and intraocular pressure were normal in both eyes.Left eye fundus photography was normal.Right eye ophthalmoscopy showed vitreous hemorrhage and off-white raised retinal lesions below the optic disc.Proliferative membranes on the lesion surfaces resulted in superficial retinal detachment and tortuosity and occlusion of peripheral blood vessels.A horseshoe-like tear in the temporal periphery was surrounded by retinal detachment.Optical coherence tomography revealed retinal thickening at the focal site with structural disturbance indicated by high reflectance.Right eye ultrasound showed retinal thickening at the lesion,stretching and uplifting of the proliferative membrane,with moderately patchy echo at the optic disc edge.Cytokines and antibodies were detected in vitreous fluids during the operation to rule out other diseases.Fundus fluorescein angiography(FFA)at postoperative follow-up led to final diagnosis of CHRRPE.CONCLUSION FFA is helpful in diagnosing retinal and retinal pigment epithelial combined hamartoma.In addition,other cytokine and etiological tests facilitate further differential diagnosis to rule out other suspected diseases.
基金Supported by the National Natural Science Foundation of China(No.3870822)
文摘Our previous experiments demonstrated the occurrence of retinal lipidperioxidation following vitreous hemorrhage.In the present study,0.2ml ofautologous whole blood was injected into the vitreous of both eyes in rabbits.One eye of each rabbit received an additional injection of 0.2ml of superoxidedismutase (SOD,794 U);the other eye served as a control.The malondialdehyde(MDA) in the retina was assayed with fluorescence spectrophotometry.The resultsshowed that the MDA was significantly lower in eyes injected with SOD (0.047±0.010 nmol/mg) than in control eyes (0.096±0.011 nmol/mg,P【0.05) 10d afterinjection.Ultrastructural examination revealed that the photoreceptor cells of theeyes with SOD injection were relatively normal.It is suggested that SOD can pro-tect the retina from lipid peroxidation.
