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一个患有低体重手术史的患者的眼部并发症
Jose Miguel Mora Correa1, Arslon Humayun2, Stephen G Schwartz1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17th St, Miami, FL, 33116, USA.
American journal of ophthalmology case reports
|September 22, 2025
概括
由于维生素A缺乏症 (VAD) 导致的严重视力丧失可能发生在减肥手术多年后. 长期的营养监测和对补充剂的坚持对于减肥患者来说至关重要,以防止不可逆转的眼部并发症.
科学领域:
- 眼科医生 眼科 眼科
- 营养科学 营养科学
- 腹部外科 腹部外科
背景情况:
- 维生素A缺乏 (VAD) 是空腹手术后潜在的长期并发症.
- VAD的眼部表现可能是严重的,并且可能在手术后几年出现.
- 带有十二指肠切换的双胰腺转移 (BPD-DS) 是一种与吸收不良风险相关的减肥手术.
研究的目的:
- 为了突出从VAD后腹部外科手术严重的眼部并发症的风险.
- 强调长期营养监测和患者遵守的关键需求.
- 讨论与VAD相关的眼部问题的管理策略,特别是有限的治疗机会.
主要方法:
- 一个患有角膜和眼表面角质化症的病人的病例报告呈现.
- 讨论管理挑战,包括肌肉内维生素A缺乏.
- 审查患者在BPD-DS后不一致的多维生素摄入史.
主要成果:
- 由于不一致的补充剂,BPD-DS后八年,该患者出现了异眼症和渐进的视力丧失.
- 开始高剂量口服维生素A治疗,但不足以防止需要手术干预.
- 该案例强调,如果不及时检测和治疗,VAD可能会导致不可逆转的视力丧失.
结论:
- 对于那些经历了减肥手术的患者来说,VAD带来了显著的长期眼睛风险.
- 早期诊断和持续的长期营养管理对于预防视力障碍至关重要.
- 这一案例强调了患者遵守补充剂方案和医疗保健提供者的警监测的重要性.
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