在经过阴视镜辅助的透光椎切除术后出现了清除现象
Enver Mirza1, Gunsu D Mirza2, Mehmet Adam1
1Department of Ophthalmology, Faculty of Medicine, Necmettin Erbakan University.
Journal of glaucoma
|June 17, 2025
概括
本案例报告详细介绍了一例罕见的视力损失,在晚期伪剥皮绿内障中经过镜辅助透光轨道切除术 (GATT). 扫除现象导致了不可逆转的视力丧失,尽管成功降低了眼内压力.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 手术并发症 手术并发症
背景情况:
- 伪脱皮绿内障是二次绿内障的常见原因之一.
- 晚期玻璃眼常常需要手术干预,以保持视力.
- 阴视镜辅助的透光轨道切除术 (GATT) 是一种有效的MIGS手术.
研究的目的:
- 报告一个罕见的GATT后消灭现象的案例.
- 突出GATT接受的晚期玻璃眼患者不可逆转的视力损失的风险.
主要方法:
- 一名71岁的男性患有晚期伪剥皮绿内障,接受了360度GATT.
- 手术后的并发症包括突然视力丧失和囊性黄斑 (CME).
- 治疗包括抗炎药物和抗VEGF注射.
主要成果:
- 患者经历了不可逆转的视力丧失 (手动) 和CME后GATT.
- 眼内压力 (IOP) 通过局部药物得到控制 (11.1 mm Hg).
- CME消失了,但视力敏度没有改善.
结论:
- 消灭现象是GATT后在晚期玻璃眼中潜在的风险.
- 谨慎的患者选择对于GATT在晚期玻璃眼中至关重要.
- 眼科医生在讨论GATT时应该考虑这种罕见的并发症.
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