小児のStickler症候群に伴う裂孔原性網膜剝離に対して硝子体手術を行った1例

Vitreous surgery for rhegmatogenous retinal detachment in a child with Stickler syndrome

要約　目的：Stickler症候群に併発した網膜剝離の治療例の報告。症例：13歳男児が右眼の網膜剝離として紹介受診した。乳児期にPierre Robin症候群と診断され，口蓋裂の手術を受けている。所見と経過：両眼に約－5Dの近視があり，矯正視力は右0.5，左1.2であった。右眼に網膜剝離と硝子体液化があった。顔面と鼻根部が平坦化し，指関節の屈曲制限があり，Stickler症候群と診断した。SF₆を併用した硝子体手術により網膜は復位し，15か月後の現在まで再発はない。結論：Stickler症候群の小児に裂孔原性網膜剝離が発症することがある。

Abstract.　Purpose：To report rhegmatogenous retinal detachment in a child with Stickler syndrome treated by vitreous surgery. Case：A 13-year-old boy was referred to us for rhegmatogenous retinal detachment in the right eye. He had been diagnosed with Pierre Robin syndrome and had received surgery for cleft palate during infancy. Findings and Clinical Course：Both eyes had myopia of about-5 diopters. Corrected visual acuity was 0.5 right and 1.2 left. The right eye showed liquefied vitreous and total retinal detachment. He showed restricted flexion of fingers, flat face and nasal bridge leading to the diagnosis of Stickler syndrome. The retina became reattached after vitreous surgery with sulfur hexafluoride. There has been no recurrence for 15 months until present. Conclusion：This case illustrates that rhegmatogenous retinal detachment may occur in a child with Stickler syndrome.