由PCIOL引起的隐藏性尿道炎-黄斑-高血综合征,带有外围囊撕裂
Jason Dossantos1,2, Yusuf Bade1, Omar Halawa2
1Department of Ophthalmology, George Washington University School of Medicine and Health Sciences, District of Columbia, Washington, DC, USA.
Case reports in ophthalmology
|April 22, 2024
概括
尿道炎 - 眼内光眼 - 淋巴瘤 (UGH) 综合征是眼内镜片植入的严重并发症,由于突出的镜片触觉,在手术后17年被诊断出. 手术干预解决了这种情况.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 眼内透镜植入 眼内透镜植入
背景情况:
- 尿道炎 - 黄眼瘤 - 阴 (UGH) 综合征是一种罕见但严重的眼内透镜 (IOL) 植入的并发症.
- 它的特征是前腔内的炎症和眼内压力 (IOP) 的增加.
研究的目的:
- 报告一种罕见的晚发UGH综合征病例.
- 突出诊断挑战和成功管理这种并发症.
主要方法:
- 一位90岁的女性在白内障手术17年后出现了症状.
- 诊断是在带切割和管整形期间确立的,通过囊撕裂揭示了一个突出的IOL触觉.
- 治疗包括IOL-haptic截肢和同时进行的玻璃眼手术.
主要成果:
- 患者在视力模糊和脑膜炎方面经历了显著改善.
- 眼内压力 (IOP) 得到了成功控制,导致UGH综合征完全消失.
- 超声波生物显微镜最初未能确定病因,这凸显了诊断方面的挑战.
结论:
- 晚期发作的UGH综合征可以在IOL植入后几年发生,即使镜头位置良好.
- 非典型的表现需要彻底的调查,包括手术探索.
- 手术干预对于管理复杂的持续性脑膜炎和内膜垂升高病例至关重要.
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