在全身麻醉下进行眼手术后,出现双边视神经炎的非典型病例
Himani Pal1, Anupam Singh1, Sandhya Shrestha1
1Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh.
Strabismus
|March 18, 2024
概括
双边视神经炎是眼手术后的一种罕见并发症. 及时诊断和使用类固醇治疗对于视力恢复至关重要,尽管类固醇诱导的玻璃眼需要仔细监测.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 眼手术是常见的,已知罕见的并发症,如出血和感染.
- 双边视神经炎是眼手术后的一种未经证实的并发症.
研究的目的:
- 报告一个双边视神经炎的单一病例,该病例是在眼手术后出现的.
- 为了强调考虑手术后神经眼科并发症的重要性.
主要方法:
- 一名15岁的女性在全身麻醉下经历了双边下下斜衰退.
- 手术后,她出现了严重的头痛和视力丧失.
- 磁共振成像证实了双边视神经炎.
主要成果:
- 患者在术后1日和7日出现头痛和视力丧失.
- 核磁共振扫描显示了双边视神经的超强度.
- 静脉注射甲基prednisolone改善了视力,但导致了类固醇诱导的玻璃眼.
结论:
- 双边视神经炎是一种潜在的,尽管很少见的,斜视手术的并发症.
- 早期识别和治疗视神经炎和类固醇诱导的玻璃眼对于视觉结果至关重要.
- 眼科医生应保持警眼科手术后的神经眼科并发症.
相关概念视频
Angle Closure Glaucoma: Treatment
488
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
488
Glaucoma: Overview
566
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
566


