Rhegmatogenous Retinal Detachment in Patients with Acute Syphilitic Panuveitis

被引：12
|
作者：
Haug, Sara J. [1 ,2 ]
Takakura, Ako [1 ]
Jumper, J. Michael [1 ,2 ]
Heiden, David [2 ]
McDonald, H. Richard [1 ,2 ]
Johnson, Robert N. [1 ,2 ]
Fu, Arthur D. [1 ,2 ]
Lujan, Brandon J. [1 ,2 ,3 ]
Cunningham, Emmett T., Jr. [1 ,2 ,4 ,5 ]
机构：
[1] Calif Pacific Med Ctr, Dept Ophthalmol, San Francisco, CA USA
[2] West Coast Retina Med Grp, San Francisco, CA USA
[3] Univ Calif Berkeley, Dept Vis Sci, Sch Optometry, Berkeley, CA 94720 USA
[4] Stanford Univ, Sch Med, Dept Ophthalmol, Stanford, CA USA
[5] UCSF Sch Med, Francis I Proctor Fdn, San Francisco, CA USA
来源：
OCULAR IMMUNOLOGY AND INFLAMMATION | 2016年 / 24卷 / 01期
关键词：
syphilis; lues; uveitis; retina detachment; Giant retinal tear; retinitis; proliferative vitreoretinopathy; OCULAR SYPHILIS; RETINITIS; INFECTION; UVEITIS; HIV;
D O I：
10.3109/09273948.2014.925122
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: To describe the clinical characteristics and surgical management of rhegmatogenous retinal detachment (RD) in patients with acute syphilitic panuveitis. Methods: Retrospective case series and comprehensive literature review. Results: Including present and previously reported cases, we identified 11 eyes in 8 patients with acute syphilitic panuveitis that developed a rhegmatogenous RD. Seven of 11 eyes (63.6%) were repaired with a combined scleral buckling, vitrectomy, and endolaser photocoagulation surgery; 1 eye (9.1%) was repaired with scleral buckling only; and 2 eyes (18.2%) with vitrectomy only. Cryotherapy was used to treat a giant retinal tear in 1 eye (9.1%). Four eyes (36.4%) redetached and 3 underwent a second vitrectomy surgery. Conclusions: Although uncommon, rhegmatogenous RD can occur in patients with moderate to severe acute syphilitic panuveitis. We believe scleral buckling, vitrectomy, endolaser photocoagulation, and silicone oil tamponade give the best chance for successful retinal reattachment.
引用
收藏
页码：69 / 76
页数：8
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