囊性黄斑胀:在选择性激光膜整形术后的罕见并发症
James Richardson-May1,2, William Evans3, Shweta Pandey2
1Ophthalmology, University Hospital Southampton NHS Foundation Trust, Southampton, UK jamesrichardsonmay@gmail.com.
BMJ case reports
|November 21, 2024
概括
选择性激光膜整形术 (SLT) 很少会在对视膜膜进行玻璃切除术后引起囊性黄斑胀 (CMO). 用类固醇和NSAID迅速治疗解决了CMO,这表明在高风险患者中主动使用NSAID.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 视光眼管理 视光眼管理
背景情况:
- 以往对视网膜进行的玻璃切除术可能会改变眼睛生理学.
- 选择性激光轨道造形术 (SLT) 是一种常见的色素性玻璃眼的治疗方法.
- 囊性黄斑 (CMO) 是眼部手术后的罕见但潜在的并发症.
研究的目的:
- 报告一种罕见的CMO病例,该病例是在玻璃切除眼中的SLT之后发生的.
- 为了确定前切除术患者在SLT后CMO的发病率.
- 为管理和预防这种并发症提供建议.
主要方法:
- 一个女性患者的病例报告,先前进行了对视网膜膜的玻璃切除术.
- 双边SLT进行了色素性玻璃眼.
- 用局部类固醇和NSAIDs监测和治疗CMO.
- 内部审计以评估SLT后的CMO发生率.
主要成果:
- 患者在SLT后的玻璃切除眼睛中发展出CMO.
- 随着局部类固醇和NSAID治疗,CMO完全得到解决.
- 内部审计显示,与SLT暂时相关的CMO发生率为0.07%.
结论:
- CMO是一种非常罕见的SLT并发症,特别是在玻璃切除眼睛中.
- 密切的患者随访和"红旗"指令至关重要.
- 对高风险患者 (例如,体外切除术后) 考虑预防性NSAID可能是有益的.
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