PDF(Pubmed)
Abstract：
UNASSIGNED: This case report aims to shed light on a rare presentation of familial exudative vitreoretinopathy (FEVR) co-existing with a large full-thickness macular hole (FTMH) in a 16-year-old male and discuss its successful surgical management, thereby adding to the limited existing knowledge on this topic.
UNASSIGNED: Over an 8-month period, the patient had experienced progressively worsening visual blurring and distortion in his left eye. Following a comprehensive examination, diagnosis confirmed FEVR and an accompanying large FTMH. It was hypothesized that this unusual manifestation resulted from the tractional forces exerted by a thick posterior vitreous membrane and a thin epiretinal membrane - a distinctive attribute of FEVR. The patient underwent surgical intervention, which included pars plana vitrectomy (PPV), internal limiting membrane (ILM) peeling, gas tamponade, and the inverted ILM flap technique. Postoperative outcomes were favorable, with the FTMH successfully closed and substantial improvement observed in the patient\'s visual acuity at the 3-month follow-up visit.
UNASSIGNED: This case report highlights a rare association of FEVR with FTMH, thereby broadening our understanding of potential complications in patients with FEVR. The successful surgical intervention reinforces the utility of the PPV and the inverted ILM flap technique in managing such complications. It underscores the need for clinicians to maintain vigilance for such atypical manifestations in FEVR patients.
UNASSIGNED: Over an 8-month period, the patient had experienced progressively worsening visual blurring and distortion in his left eye. Following a comprehensive examination, diagnosis confirmed FEVR and an accompanying large FTMH. It was hypothesized that this unusual manifestation resulted from the tractional forces exerted by a thick posterior vitreous membrane and a thin epiretinal membrane - a distinctive attribute of FEVR. The patient underwent surgical intervention, which included pars plana vitrectomy (PPV), internal limiting membrane (ILM) peeling, gas tamponade, and the inverted ILM flap technique. Postoperative outcomes were favorable, with the FTMH successfully closed and substantial improvement observed in the patient\'s visual acuity at the 3-month follow-up visit.
UNASSIGNED: This case report highlights a rare association of FEVR with FTMH, thereby broadening our understanding of potential complications in patients with FEVR. The successful surgical intervention reinforces the utility of the PPV and the inverted ILM flap technique in managing such complications. It underscores the need for clinicians to maintain vigilance for such atypical manifestations in FEVR patients.
摘要：
■本病例报告旨在阐明一名16岁男性患者罕见的家族性渗出性玻璃体视网膜病变（FEVR）与大的全厚度黄斑裂孔（FTMH）并存，并讨论其成功的手术治疗。从而增加了关于这一主题的有限的现有知识。
■在8个月的时间里，患者的左眼视觉模糊和变形逐渐恶化。经过全面检查，诊断证实FEVR和伴随的大FTMH。据推测，这种不寻常的表现是由厚的玻璃体后膜和薄的视网膜前膜施加的牵引力引起的，这是FEVR的独特属性。患者接受了手术干预，其中包括平坦部玻璃体切除术(PPV)，内限膜（ILM）剥离，气体填塞,和倒置ILM皮瓣技术。术后结果良好，FTMH成功关闭，在3个月的随访中观察到患者的视力有显著改善。
■此病例报告强调了FEVR与FTMH的罕见关联，从而扩大了我们对FEVR患者潜在并发症的理解。成功的手术干预增强了PPV和倒置ILM皮瓣技术在处理此类并发症中的实用性。它强调了临床医生需要对FEVR患者的这种非典型表现保持警惕。
■在8个月的时间里，患者的左眼视觉模糊和变形逐渐恶化。经过全面检查，诊断证实FEVR和伴随的大FTMH。据推测，这种不寻常的表现是由厚的玻璃体后膜和薄的视网膜前膜施加的牵引力引起的，这是FEVR的独特属性。患者接受了手术干预，其中包括平坦部玻璃体切除术(PPV)，内限膜（ILM）剥离，气体填塞,和倒置ILM皮瓣技术。术后结果良好，FTMH成功关闭，在3个月的随访中观察到患者的视力有显著改善。
■此病例报告强调了FEVR与FTMH的罕见关联，从而扩大了我们对FEVR患者潜在并发症的理解。成功的手术干预增强了PPV和倒置ILM皮瓣技术在处理此类并发症中的实用性。它强调了临床医生需要对FEVR患者的这种非典型表现保持警惕。
