原始玻璃体持续增生症是临床上罕见的先天性疾患, 临床表现各异, 常与其他白瞳症混淆, 误诊率较高,本例PHPV患者合并长眼轴,文献鲜有报道,给临床工作开辟了新思路;长眼轴的PHPV颠覆了我们传统意义上对该病的认识,得我们进一步探究深思。本例患者成年后才确诊,在本院行前后联合手术治疗,术后眼部解剖结构恢复良好,但已延误了治疗的最佳时机,视功能恢复较差。
Persistent primary vitreous hyperplasia is a rare congenital disease with different clinical manifestations. It is often confused with other leukocoria, and the misdiagnosis rate is high. This case of PHPV combined with long axial length is rarely reported in the literature, which opens up new ideas for clinical work. The long axis of PHPV subverts our traditional understanding of the disease, so we need to further explore it. The patient was diagnosed after adulthood and underwent combined anterior and posterior surgery in our hospital. The anatomical structure of the eye recovered well after surgery, but the best time for treatment was delayed and the recovery of visual function was poor.
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