在白内障手术期间发生严重的亡
Lauren Ton1, Wanlin Zhang2, Murtaza Saifee3
1School of Medicine, University of California San Francisco, San Francisco, CA, USA.
American journal of ophthalmology case reports
|August 9, 2023
概括
在白内障手术期间,在患有绿内障排水装置的患者身上,严重的眼睛凸起迅速得到解决. 这种罕见的并发症可能与眼睛后部的液体积累有关,这表明同时进行手术可能是有益的.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 白内障手术 手术 白内障手术
背景情况:
- 一名58岁的女性患有复杂的眼睛病史,包括克罗恩病,慢性帕努韦氏炎,中枢视网膜静脉封闭和类固醇诱导的眼睛高血压,经过了化.
- 该患者此前曾接受过双边艾哈迈德玻璃眼疏通装置 (GDD),用于控制不良的眼睛高血压.
研究的目的:
- 报告在发光乳化 (白内障手术) 期间出现严重的外科手术前的不寻常情况.
- 讨论这种罕见并发症的潜在病理生理学和管理.
主要方法:
- 进行了右眼的化.
- 在突然发作后,用眼盖操纵保守地管理了proptosis.
主要成果:
- 在手术过程中发生了严重的亡.
- 在20分钟内,无需手术干预 (侧侧切除术) 的情况下,瘤自发消失.
- 没有出现永久的视觉并发症.
结论:
- 在这种情况下,手术期间的亡很可能是由于 retrobulbar 液体的积累而引起的,这是由于使用帕斯普拉纳管的 Ahmed 玻璃眼疏通装置.
- 应考虑同时进行白内障手术与绿内障排水装置植入,特别是使用帕斯普拉纳管,以潜在地减轻这种风险.
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