Tratamiento quirúrgico en un hamartoma combinado de retina y epitelio pigmentario

Sánchez-Vicente, J.L.; Rueda-Rueda, T.; Llerena-Manzorro, L.; Molina-Socola, F.E.; Contreras-Díaz, M.; Szewc, Monika; Vital-Berral, C.; Alfaro-Juárez, A.; Medina-Tapia, A.; López-Herrero, F.; González-García, L.; Muñoz-Morales, A.

doi:10.1016/j.oftal.2016.07.007

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…A total of 13 small case reports (43 patients) have shown that surgery results shows good visual outcomes (success rate >70%). 17 , 18 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 It was found that 39 of the 43 patients (90.7%) had postoperatively improved in VA. Because of rarity of the disease the largest cohort study was published by Sun et al. 30 in 2020 with only 15 patients.…”

Section: Surgical Management Of Epiretinal Membranementioning

confidence: 97%

Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium

Zhang¹,

Yang²,

Wang³

et al. 2023

Advances in Ophthalmology Practice and Research

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Section: Surgical Management Of Epiretinal Membranementioning

confidence: 97%

Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium

Zhang¹,

Yang²,

Wang³

et al. 2023

Advances in Ophthalmology Practice and Research

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Large Combined Hamartoma of the Retina and the Retinal Pigment Epithelium in a Healthy Young Boy

Weng

Morales

2019

JAMA Ophthalmol

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A 9-year-old healthy boy was seen for long-standing poor vision in his left eye. The right eye was healthy. His visual acuity was 20/400 OS with a normal anterior segment. Ophthalmoscopic examination results revealed a combined hamartoma of the retina and retinal pigment epithelium. Combinedhamartomaoftheretinaandretinalpigmentepithelium isarare,benign,congenital,andhamartomatousmalformationthatwas first described by Gass. 1 These lesions are typically unilateral; bilateral presentation is more frequently associated with phakomatoses, such as neurofibromatosis, for which the patient had negative genetic testing results. 2,3 Combined hamartomas can have a variable appearance and location but are typically gray-blue with thickened preretinal tissue that can contract and displace surrounding retina and blood vessels (Figure ). 4 Which specific retinal layers are involved can differ between patients; a recent classification scheme has been proposed to betterdescribethesetumors. 5 Combinedhamartomasoftheretinaand retinalpigmentepitheliumcancausesubstantialvisionloss,andsurgery may be required if retinal detachment occurs. 6

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Surgical Outcomes of Epiretinal Membrane Removal Due to Combined Hamartoma of the Retina and RPE

Sun¹,

Raouf²,

Rhee³

et al. 2020

Ophthalmic Surg Lasers Imaging Retina

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BACKGROUND AND OBJECTIVE: To evaluate the surgical outcomes of epiretinal membrane (ERM) associated with combined hamartoma of the retina and retinal pigment epithelium (CHRRPE) after vitrectomy and membrane peel. PATIENTS AND METHODS: A retrospective review of 15 patients who underwent pars plana vitrectomy with membrane peeling. No plasmin enzyme was used. RESULTS: The mean age at surgery was 10 years old, with an average follow-up of 5.7 years. The average preoperative visual acuity (VA) was 20/514. The average postoperative VA was 20/138 ( P = .0251) at 1-year follow-up and 20/89 ( P = .0025) on the latest exam on final follow-up. VA was improved in 14 patients (93%) and deteriorated in one patient (7%). All 15 patients (100%) had improvement of retinal/macular anatomy postoperatively. CONCLUSION: In the treatment of patients with ERM due to CHRRPE, vitrectomy with membrane peeling without plasmin injection can result in improved VA and retinal structure. [ Ophthalmic Surg Lasers Imaging Retina. 2020;51:546–554.]

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Tratamiento quirúrgico en un hamartoma combinado de retina y epitelio pigmentario

Cited by 3 publications

References 7 publications

Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium

Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium

Large Combined Hamartoma of the Retina and the Retinal Pigment Epithelium in a Healthy Young Boy

Surgical Outcomes of Epiretinal Membrane Removal Due to Combined Hamartoma of the Retina and RPE

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