Eye Issues and Treatment in Marfan Syndrome, Stickler Syndrome, and Other Related Conditions
29:01-31:43
This is what you see if you have a tear or tears or you have detached retina. Think three things. We, this is every ophthalmologist knows, when you, someone comes in to your office, have some kind of a vague complaint, you always, always. We call it RD precaution. You tell the patients you need to take a precaution. RD stands for retinal detachment. Those are three signs.
網膜剥離が起こると、下の写真のような兆候が現れます。眼科医であれば誰でもわかりますが、網膜剥離で受診した患者さんであれば、必ずと言っていいほど訴える兆候が3つあります。
Floaters and the stark, spots. Those are the floaters. we all see floaters, again part of the aging change. I see floaters, you know, once in a while. Some patients say, "I try to catch it and it goes away." And they slide ???? You have the floaters most by retinal tear or tears. Those floaters I called a ???. They are there. They're always there. They're flying around and doesn't matter in the dark or in the one, in the bright condition. You see them all the time, so those, that's number one.
まず、この写真にあるような糸くずやシミのようなものが見えるようになります。この兆候は加齢現象によっても起こります。私でも時々見えます。患者さんの中には「捕まえようとすると逃げるんです」とおっしゃる方もいます。こうした糸くずのようなものは網膜剥離になると数が増えます。常に視界を飛び回っており、暗い場所や明るい場所ではわかりにくくなります。これが網膜剥離の兆候の1つ目です。
Number two, flashing lights, Few sparkles here, there, we all see that sometimes and you just put them ,you know, pressure, you know, you use sleep in a very odd position, you wake up and you have some flashing lights. You're stimulating your retina. Once in a while everyone sees that. The persistant flashing light, sparkles always there doesn't matter in the dark,doesn't matter in the dark. That's a second sign of a detached retina.
2つ目は眩しい光です。この兆候も誰にでも時々起こります。例えば、寝ているときの姿勢によっては眼に圧力がかかり、目を覚ました際に眩しい光が見えることがあります。この場合、網膜を刺激していたということになります。この眩しい光も持続して見えますが、暗い場所では目立ちません。
The last sign is this curtain. A curtain, this one is on the left side. I tell my patient, "Doesn't matter. You don't move your head. You look at them straight forward, straight ahead and you don't move your eyes" and you can distinctly tell there's a curtain on my left side. I just don't see it. There, there's a curtain coming down from the top.
最後の兆候は、この写真の左に見えるカーテンです。患者さんに、頭も眼も動かさずに、まっすぐ見てもらうと、左側のカーテンのようなものがはっきりと見えるとおっしゃいます。私には見えません。このカーテンのようなものは上から下に降りてきます。
So floaters, flashing lights and a curtain, those are the three signs.
糸くずやシミのようなもの、眩しい光、カーテンの3つが網膜剥離の兆候です。
You need to warn your doctor any of one of those occurs, three in the morning. You need to call and then need to be fixed in an urgent basis. Because they can be easily fixed, anything that you wanna do at early stage, you will have better outcome. Too late, even though you can get the retina reattached anatomically, you can get a complications. Glaucoma actually is one of the complications from detached retina.
これらの兆候が現れた際には、ただちに眼科を受診する必要があります。早い段階で治療できれば、その後の経過は良くなります。治療が遅れた場合、網膜を解剖学的に再度くっつけることが出来たとしても、緑内障などの合併症が起こる可能性があります。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
