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Updated: May 16, 2025
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Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
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在用聚四乙烯 (Gore-Tex®) suture suture suture suture suture 后,在膜上 sutured 眼内透镜后,膜融化
Hatem Kalantan1, Abdulrahman Albuainain2, Wael Otaif3
1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
BMC ophthalmology
|April 1, 2025
概括
在Gore-Tex suture用于眼内透镜固定后,发生了膜化. 移除Gore-Tex和透镜最终使患者稳定,防止进一步的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 眼睛的创伤 眼睛的创伤
背景情况:
- 膜固定眼内透镜 (SFIOL) 用于管理透镜的不稳定性.
- 由于其灵活性和强度,Gore-Tex sutures已被用于SFIOL.
- 与SFIOL相关的潜在并发症,包括与接有关的问题,需要仔细监测.
研究的目的:
- 为了记录一个罕见的脑膜融化的案例.
- 为了调查使用高尔-德克斯在膜固定眼内镜片植入中使用后的并发症.
主要方法:
- 一个单一病例报告,详细介绍了一名患有眼创伤和透镜外置病史的患者.
- 患者用SFIOL进行了帕斯普拉纳视切除术,最初用丝,后来用高尔-德克斯 suture进行了修改.
- 治疗涉及医疗治疗 (类固醇,甲状腺素,修复剂) 和手术干预 (膜补丁移植) 在戈尔-德克斯和IOL移除之前.
主要成果:
- 一名39岁的男性出现了严重的左眼疼痛,红色和视力下降.
- 检查显示活动的部膜融与阴道落和暴露的戈尔-德克斯结.
- 尽管进行了激进的治疗,但膜融化仍然存在,需要去除戈尔-德克斯和内膜眼镜,从而使其稳定.
结论:
- 与Gore-Tex接相关的并发症,如膜融化,很少发生,但很严重.
- 早期识别和及时管理合并发症对于保持视觉功能至关重要.
- 需要进行进一步的长期研究,以充分了解眼科手术中高尔-德克斯与之相关的风险.
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