术后妄想 掩盖急性角关闭 玻璃眼 玻璃眼
Zariel Jiaying Sim1, Xing Jieyin2, Thangavelautham Suhitharan2
1Singhealth, Singapore, Singapore.
概括
急性闭角光眼 (AACG) 可以导致视力丧失. 这一案例突出了AACG的重点.
科学领域:
- 眼科医生 眼科 眼科
- 临界护理医学 临界护理医学
背景情况:
- 急性闭角光眼 (AACG) 是一种眼科紧急情况.
- 及时诊断和治疗对于预防永久性视力丧失至关重要.
研究的目的:
- 在术后患者中报告单边AACG的非典型呈现.
- 强调在术后患有精神状态变化和眼部症状的患者考虑AACG的重要性.
主要方法:
- 一位65岁的女性在经历了长时间的手术后,在术后第一天出现了精神状态变化和固定扩张的瞳孔.
- 眼科检查显示眼内压升高,导致诊断为AACG.
主要成果:
- 患者接受了静脉注射乙醇胺和眼液的治疗.
- 眼内压力在24小时内正常化,同时精神状态有所改善.
结论:
- 在手术后的患者中,AACG应该是首要的差异诊断,这些患者表现出眼睛不适或异常的眼部发现.
- 在怀疑AACG时,迅速转诊眼科医生至关重要.
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