经过阴视镜辅助的透光叶切除术后的持久性脑膜炎
Shahin Hallaj1,2, Jae-Chiang Wong1,3, Wesam Shamseldin Shalaby1,4
1Glaucoma Service, Will Eye Hospital.
Journal of glaucoma
|July 31, 2023
概括
持久性脑膜炎,一个固定和扩张的瞳孔,可以发生在视镜辅助的透光轨道切除术后,用于开角玻璃眼. 这种并发症可能会导致显著的视觉不适,手术干预可能会带来潜在的缓解.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼睛生理学 眼睛生理学
背景情况:
- 开角玻璃眼 (Open-angle glaucoma) 是不可逆转失明的主要原因.
- 阴视镜辅助的透光轨道切除术 (GATT) 是一种越来越多地使用的微创性玻璃眼外科手术.
- 眼科手术的并发症需要进行彻底的调查和报告.
研究的目的:
- 在GATT之后报告了两例持续性脑膜炎病例.
- 描述这种罕见并发症的临床过程和治疗方法.
- 为了突出潜在的治疗策略,用于iatrogenic mydriasis.
主要方法:
- 两名患者的病例报告,他们接受了GATT治疗,因为他们患有开角眼.
- 术后并发症的详细描述,包括缺血和眼内血压升高.
- 持续性肌病及其对医疗管理 (皮洛卡尔宾) 的抵抗性的文档.
- 在一个案例中进行了外科干预 (虹膜圆形瞳孔整形).
主要成果:
- 两位患者在GATT后都出现了持久,固定和扩张的瞳孔.
- 症状包括显著的光敏度和光.
- 使用皮洛卡尔的医疗管理在逆转肌病方面无效.
- 虹膜形瞳孔整形在一名患者中提供了症状缓解.
结论:
- 持续性脑膜炎是一种潜在的,尽管很少见的,GATT的并发症.
- 这种情况可能导致虚弱的视觉症状.
- 虹膜环形瞳孔整形可能是缓解症状的有效治疗选择.
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