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A algorithm for prediction of exudative retinal detachment risk of patients with pregnancy-induced hypertension

International Journal of Ophthalmology(English edition) 2022年第8期15卷 1310-1315页

作者： Li Hu Dong-Hao Li Shuang-Yong Wang The Third Affiliated Hospital of Guangzhou Medical University Guangzhou 510150Guangdong ProvinceChina

AIM:To investigate the risk of exudative retinal detachment(ERD)morbidity in patients with pregnancyinduced hypertension(PIH)by using the logistic regression combined with the receiver operating characteristic(ROC)***:A total of 46 patients with ERD and 142 patients with non-ERD were diagnosed as PIH from January 2017 to February 2020.A retrospective comparison of the clinical manifestations and laboratory tests were *** risk of ERD morbidity with PIH was predicted by using logistic regression combined with an ROC curve ***:There was no significant difference in age and body mass index between the two groups before pregnancy(P>0.05).However,significant differences were found in gestational weeks,duration of hypertension,maximum and minimum systolic and diastolic blood pressure(BP),and plasma total protein(PTP)concentration between the two groups(P<0.05).Binary logistic regression analysis showed that the maximum systolic BP(OR=1.050,95%CI:1.016-1.085)and PTP concentration(OR=0.764,95%CI:0.702-0.832)were independent prediction risks of ERD in *** sensitivities of maximum systolic BP,PTP concentration and combined diagnosis were 0.717,0.870,and 0.870,respectively;the specificities were 0.617,0.837,and 0.908,respectively;the area under the curve(AUC)was 0.707(95%CI:0.622-0.792),0.917(95%CI:0.868-0.967),and 0.933(95%CI:0.890-0.975),respectively;the AUC of combined diagnosis was higher than that of single diagnosis(P<0.01).CONCLUSION:Logistic regression and ROC curve model combined with maximum systolic BP and PTP can improve the early identification of high-risk PIH patients in the hospital.

关键词： pregnancy-induced hypertension exudative retinal detachment plasma total protein blood pressure

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Spontaneous exudative retinal detachment in a patient with sturge-weber syndrome after taking arginine, a supplement for erectile dysfunction

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Eye and Vision 2014年第1期1卷 46-50页

作者： Austin Bach Aaron S Gold Victor M Villegas Andrea C Wildner Fiona J Ehlies Timothy G Murray Larkin Community Hospital 7031 SW 62nd AvenueSouth MiamiFlorida 33143USA Murray Ocular Oncology&Retina 6705 Red RoadSuite 412MiamiFlorida 33143USA.

Background:Patients with Sturge-Weber syndrome can have ipsilateral diffuse or circumscribed choroidal *** hemangiomas have been seen to undergo spontaneous exudative or hemorrhagic retinal *** is no definitive treatment for these types of retinal detachments,but radiotherapy,photodynamic therapy,oral propranolol,pegaptinib and bevacizumab have been *** presentation:A 26-year-old male with Sturge-Weber Syndrome developed an exudative retinal detachment that occurred immediately after taking a supplement containing *** patient was treated with intravitreal bevacizumab 1.25 mg in 0.05 ml *** of the retinal detachment was seen after 4 treatments over a six-month ***:Arginine and other medications that cause a release of nitric oxide may lead to intravascular leakage and exudative retinal detachments in patients who have a choroidal hemangioma.

关键词： Sturge-Weber Syndrome exudative retinal detachment Choroidal hemangioma Nitric oxide arginine

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exudative retinal detachment Associated with Complicated Retrobulbar Anesthesia

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Open Journal of Ophthalmology 2015年第1期5卷 6-9页

作者： Volkan Yaylali Ibrahim Toprak Department of Ophthalmology Faculty of MedicinePamukkale UniversityDenizliTurkey Private Yaylali Eye Hospital DenizliTurkey Department of Ophthalmology Servergazi State HospitalDenizliTurkey

Retrobulbar anesthesia (block) is used for many ocular surgeries, whereas it is well known that this procedure has complications such as for retrobulbar hemorrhage, globe perforation, optic nerve injury and brain stem anesthesia. In this report, we present a unique case in the literature of isolated exudative retinal detachment (RD) secondary to iatrogenic retrobulbar hemorrhage. A 73-year-old woman underwent retrobulbar block for combined phaco-vitrectomy. Immediately after the injection, progressive proptosis was recognized. The globe was decompressed and she underwent combined phaco-vitrectomy after stabilization of the eye on the same day. At the be-ginning of the vitrectomy, a dome shaped serous RD was observed in the infero-temporal quadrant. Peripheral exploration was performed, whereas there was no retinal tear or hole. On the first day postoperatively, serous RD was disappeared. In conclusion, this report suggests that increased intraorbital pressure secondary to iatrogenic retrobulbar hemorrhage might lead exudative RD.

关键词： Retrobulbar Anesthesia Retrobulbar Hemorrhage exudative retinal detachment

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