在复杂的白内障手术后,辅助的眼腺分泌模仿Seidel阳性:病例报告
Joshua M Garcia1, Patrick B Wu1, Ramez I Haddadin1
1Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
American journal of ophthalmology case reports
|May 6, 2024
概括
在复杂的眼睛手术后,由于眼腺分泌,而不是水性泄漏,可能会出现错误的阳性Seidel标志. 这凸显了在解释赛德尔测试结果时考虑改变解剖学的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 眼睛的解剖学 眼睛的解剖学
背景情况:
- 复杂的白内障手术与内循环光凝固 (ECP) 在一个有化学烧伤,symblepharon,四肢干细胞缺乏和类固醇诱导的玻璃眼病病史的患者身上进行.
- 手术后的管理包括在手术后的第一天解决Seidel阳性体.
研究的目的:
- 描述一种独特的眼腺分泌物呈现,模仿一个积极的赛德尔测试.
- 为了分析复杂的白内障手术和内循环光凝固 (ECP) 后的病例.
主要方法:
- 术后第1天和第1周对赛德尔试验结果的临床观察.
- 超声波生物显微镜 (UBM) 用于评估结膜结构.
- 评估患者病史,包括烟花伤害和慢性类固醇使用.
主要成果:
- 最初,观察到西德尔阳性抛光体,导致水性抑制处理.
- 后来,在超时上发现了精确的赛德尔阳性区域,这些区域在数字压力下没有恶化.
- UBM揭示了超时结膜中的眼腺管道,这表明这些分泌物导致了假阳性赛德尔标志.
结论:
- 假阳性赛德尔标志可能是由于眼睛中的眼腺分泌物,复杂的手术史和结膜痕.
- 临床医生在术后解释阳性赛德尔测试时必须考虑眼腺正常解剖学的潜在变化.
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