在用可调光透镜进行光照治疗后,双边囊性黄斑胀.
Fatma Shakarchi1,2, Evelyn Bassett2, Ayorinde Cooley1,2
1Ophthalmology, Willis-Knighton Medical Center, Shreveport, USA.
Cureus
|September 22, 2025
概括
这项研究报告了在光调节透镜 (LAL) 植入和紫外线 (UV) 光调节后出现的双边囊性黄斑胀 (CME) 的第一例病例. 用抗炎药液迅速治疗可以消除CME.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
背景情况:
- 可调光透镜 (LALs) 通过紫外线 (UV) 光疗法提供可调视敏度 (VA) 的白内障后手术.
- 紫外线诱导的囊状黄斑 (CME) 是与LALs相关的记录不充分的并发症.
研究的目的:
- 报告LALs的紫外线照明调整后的第一个双边CME的记录病例.
- 讨论这种并发症的潜在机制和临床管理.
主要方法:
- 一个81岁的妇女接受了双边白内障提取与LAL植入的案例报告.
- 在第二次紫外线照明调整两天后,对双边减少的VA和新出现的双边CME的观察.
- 用局部非类固醇抗炎药物 (NSAID) 和普雷尼索隆治疗,随后进行CME解决.
主要成果:
- 患者在对LALs进行紫外线光调整后发展出双边CME.
- 在开始局部NSAID和普雷迪尼索隆治疗后的三周内,CME完全消失.
- 患者完成了LAL治疗,并缓慢地逐渐减少局部药物.
结论:
- 对LALs的紫外线照射疗法可能通过各种机制导致CME,包括宏副产品激活或直接的紫外线损伤.
- 临床医生应对CME后LAL紫外线治疗保持警,并考虑立即采取抗炎疗法.
- 对这种并发症的认识对于管理LALs患者至关重要.
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