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在帕斯普拉纳玻璃切除术后,使用气气进行动态角闭合
Debora H Lee1, Melody Ziari2, Ruchi D Shah1
1Ruiz Department of Ophthalmology and Visual Science, University of Texas Health Science Center, Houston, TX, USA.
American journal of ophthalmology case reports
|April 5, 2024
概括
这份病例报告强调了在帕斯普拉纳视体切除术后,用气 (C3F8) 气体对阿法基患者的位置性二次角闭眼光. 动态的C3F8气体迁移导致间歇性角度关闭,强调了对阿法基患者的仔细监测.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
背景情况:
- 阿法基亚,一种缺乏透镜的情况,在眼科手术中提出了独特的挑战.
- 帕斯平面玻璃切除术 (PPV) 采用 perfluoropropane (C3F8) 气体吸管是一种常见的视网膜脱落修复手术.
研究的目的:
- 描述一个经历了位置二次角度闭合光眼的阿法基患者的临床过程.
- 为了记录C3F8气体在引起间歇性视角闭合的作用.
- 为了突出PPV与气体吸管的罕见但显著的并发症.
主要方法:
- 一个23岁的男性患有阿法基亚和视网膜脱落的病例报告.
- 外科干预包括15%C3F8气体吸管和面向下定位的PPV.
- 监测IOP,前腔室动态和气泡行为,以响应患者的位置.
主要成果:
- 患者在手术后出现了升高的内腔压力和角膜.
- 靠背的位置导致C3F8气体向前迁移,导致急性角度关闭和显著升高的IOP (52 mm Hg).
- 垂直的位置允许气体向后移动,使IOP (25 mm Hg) 正常化.
- 部分计划吸收C3F8气体解决了升高的IOP.
结论:
- 动态的,定位的二次角度闭眼可能发生在APHAIC患者后PPV与C3F8气体.
- 这个案例是第一个在实时中捕获C3F8气体迁移导致间歇性尖角关闭的案例.
- 仔细监测和讨论手术后的定位对于接受气体吸管PPV的aphakic患者至关重要.
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