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罕见病例:在马兰,东爪,印度尼西亚的结肠镜检查后单边急性初级闭角光眼
Supriono Supriono1, Amalia Nurul Hatinah, Mochamad Fachrureza
1Division of Gastroentero-Hepatology, Department of Internal Medicine, Saiful Anwar General Hospital - Faculty of Medicine Universitas Brawijaya, Malang, Indonesia. supriono_ipd.fk@ub.ac.id.
Acta medica Indonesiana
|July 31, 2023
概括
结肠镜检查很少会因气体 insufflation而增加眼内压力 (IOP) 而导致青光眼. 这一案例凸显了在手术前对青光眼的认识的重要性,以防止视力丧失.
科学领域:
- 眼科医生 眼科 眼科
- 胃肠病学 胃肠病学
背景情况:
- 玻璃眼包括渐进的视网膜质细胞损失和视野缺陷,通常与眼内压力 (IOP) 升高有关.
- 结肠镜检查过程涉及气体吸入,可能增加腹内压力 (IAP),随后是IOP.
研究的目的:
- 在结肠镜检查后报告罕见的玻璃眼病例.
- 强调在手术前对青光眼的认识的重要性.
主要方法:
- 一个63岁妇女的病例报告,在结肠镜检查后被诊断出患有青光眼.
- 临床检查包括视敏度和Schiotz度测量.
主要成果:
- 在结肠镜检查后,患者视力模糊,内压升高 (40.2 mmHg).
- 身体检查显示结膜和状注射.
结论:
- 结肠镜检查是少见但可能导致青光眼的原因.
- 在程序前评估青光眼风险因素至关重要.
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