QQ_Lun
9 years ago
mononeurone 大師,拜託傳道授業一下!我的一個同事兩星期前開始左眼視野外側有floater/ shadow,前幾天變嚴重去看眼科醫生結果是vitreous/retinal detachment. Non traumatic, 28 yr old. No myopia. Vision 20/20. 病因是?療法是?
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QQ_Lun
9 years ago
This is very different from any of the other retinal detachment I have seen. Just don't quite understand how she got it... 麻煩解惑一下了,感恩
單細胞
9 years ago
Diagnosis: myopic round hole detachment. Reason: only God knows; may have something to do with myopic eyes not good at pumping our subretinal fluid (by the retinal pigment epithelial cells).
單細胞
9 years ago
Treatment: cryoretinopexy with scleral buckling.
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單細胞
9 years ago
ohhh i misread- no myopia.
單細胞
9 years ago
there is a HUGE difference between Vitreous detachment and retinal detachment
單細胞
9 years ago
Vitreous detachment - no treatment; part of getting older; see it like growing wrinkles ....
單細胞
9 years ago
retinal detachment - can be acute or chronic
單細胞
9 years ago
young people - usually chronic, myopic round hole detachment, or dialysis from trauma. These: treat with cryoretinopexy / scleral buckling
單細胞
9 years ago
older people - retinal detachment secondary to posterior vitreous detachment and retinal tear, is acute; treatment: vitrectomy / laser or cryoretinopexy/ gas tamponade
單細胞
9 years ago
28 is not that young; about time to get vitreous syneresis / detachment. If she recently did bungee jumping / had whiplash injury, with sudden acceleration and deceleration of her head,
單細胞
9 years ago
then can cause vitreous detachment.
QQ_Lun
9 years ago
She denied any recent trauma, vigorous activity. It seems to be vitreous detachment leading to retinal detachment as per her ophthalmologist. Maybe "ageing" is the culprit... That is scary... 28...
QQ_Lun
9 years ago
Can constantly using eyes (I.e. stare at computer, looking at X-ray/ct) worsen the condition??
QQ_Lun
9 years ago
Thank you for the lecture. Quite comprehensive information!
單細胞
9 years ago
no, none of the above cause retinal detachment.
單細胞
9 years ago
which hospital is she seen at?
單細胞
9 years ago
she might have trauma long long time ago ... and forgot about it
單細胞
9 years ago
these people develop retinal dialysis, and many years later, develop retinal detachment.
單細胞
9 years ago
by the way, which hospital are you working at?
QQ_Lun
9 years ago
St George hospital. Near the airport. In Sydney of course
QQ_Lun
9 years ago
St George hospital. Near the airport. In Sydney of course
QQ_Lun
9 years ago
She went to Sydney eye hospital
單細胞
9 years ago
Sydney eye is very good. She will be fine ~~
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