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由于眼内透镜在玻璃腔中脱而出的恶性青光眼:一个病例报告
Syun Nakayama1, Takao Hirano1, Narihisa Hanada2
1Department of Ophthalmology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
International journal of surgery case reports
|August 2, 2025
概括
眼内透镜 (IOL) 位移到玻璃体腔中可以导致恶性玻璃眼瘤. 通过玻璃切除术迅速切除IOL可以显著改善眼内压力和视力.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 手术病例报告 手术病例报告
背景情况:
- 升高的眼内压力 (IOP) 和恶性玻璃眼瘤可能由眼内镜片 (IOL) 位移引起.
- 这一案例突出了在发酵后的一种罕见并发症,即IOL在玻璃体腔中脱而出.
研究的目的:
- 报告患有异位眼内透镜 (IOL) 的恶性偏光眼的病例.
- 讨论这种罕见并发症的诊断和管理.
主要方法:
- 一名92岁的男性出现了突然的视力下降和眼内压力升高 (IOP).
- 诊断评估包括视力敏度,内视力测量和前腔室评估.
- 治疗涉及帕斯普拉纳玻璃切除术以切除IOL.
主要成果:
- 患者呈现出异位的IOL,浅的前腔,明显升高的IOP (59 mmHg).
- 在玻璃切除术和内腔镜切除后,前腔深化,内血压正常化 (17 mmHg).
- 最好纠正的视力敏度从指数改进到手术后的20/25.
结论:
- 眼内透镜 (IOL) 位移到玻璃体腔中可以导致恶性玻璃眼瘤.
- 切除内膜切除术与内膜切除术是一种有效的治疗方法,可显著改善内膜切除术和视力敏度.
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