在白内障手术后33年,晚期发病的囊囊膨胀综合征
Rosario Alfio Umberto Lizzio1, Francesco Polimeni1, Andrea Dellavalle1
1University Eye Clinic, IRCCS Multimedica, Milan, Italy.
American journal of ophthalmology case reports
|August 16, 2024
概括
晚发性囊袋张张综合征可以在白内障手术后几十年表现出来. 手术干预有效地解决了症状,并通过清除液体和碎片来恢复视力.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术病例报告
背景情况:
- 囊袋张张综合征 (CBDS) 是白内障手术后的一种罕见并发症.
- 在最初的手术几年后出现的晚期发病特别罕见.
研究的目的:
- 描述一个不寻常的晚发囊袋张张综合征病例的临床特征.
- 为了详细说明这种情况的管理,发生在白内障手术后的33年.
主要方法:
- 综合眼科检查,包括超声波生物显微镜 (UBM) 和前段光学一致性断层扫描 (AS-OCT).
- 通过后部囊切除的25度帕斯普拉纳视切除术进行手术管理.
- 吸入液体的微生物学分析.
主要成果:
- 一个87岁的男性呈现了一年的逐渐,无痛的视力丧失.
- 通过UBM和AS-OCT证实了诊断.
- 手术后视力敏度有所改善,前腔深度增加. 微生物分析是负的.
结论:
- 晚期开始的CBDS可能在白内障手术后的33年内发生.
- 手术提供完整的液体清除,皮质物质的去除,并允许病理学测试.
- 这种方法有效地恢复视觉功能.
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