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在YAG激光囊切除术几天后,急性囊性黄斑胀的病例报告

Amera Gamela Khalaff¹, Barry Emara¹

¹Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.

International journal of surgery case reports

|September 23, 2025

概括

囊性黄斑 (CME) 可能发生在Neodymium-doped yttrium aluminium garnet (Nd:YAG) 激光囊切除术后立即发生,导致视力丧失. 用抗炎药液和类固醇及时治疗可以导致显著的视力恢复.

科学领域:

眼科医生眼科眼科
视网膜疾病视网膜疾病
眼科手术眼科手术

背景情况:

胺合伊特石榴石 (Nd:YAG) 激光囊切除术是一种常见的手术.
囊性黄斑 (CME) 是一种已知的并发症,尽管通常与白内障手术有关.
在YAG囊切除术后立即进行手术后的CME是罕见的.

研究的目的:

在Nd:YAG激光囊切除术后,报告一个突发的囊性黄斑胀 (CME) 病例.
讨论这种罕见并发症的临床表现,管理和视觉结果.

主要方法:

一名62岁的男性在YAG激光囊切除术后两天出现视力障碍.
通过光学一致性断层扫描 (OCT) 确认了CME的诊断.
治疗包括局部布雷迪尼索龙酸盐和甲,随后调整为二二烯酸盐和继续甲.

主要成果:

最初的治疗导致部分视力改善 (CDVA 20/70) 随着CME的消失.
切换到更强的类固醇 (difluprednate) 导致显著的视力恢复 (CDVA 20/25) 和两个月后完全的CME分辨率.
三个月后的OCT显示残留的周围胀,但其他正常的斑点.

结论:

在Nd:YAG激光囊切除术后,CME可能立即发生,导致视力突然下降.
早期诊断和适当的治疗,包括抗炎药物,对于视力恢复至关重要.
考虑NSAIDs (非类固醇抗炎药物) 在YAG囊切除术前和之后可能有助于预防CME.

关键词:

案例报告案例报告囊状黄斑胀囊状黄斑胀时间时间时间时间时间合的伊特石榴石 (Nd:YAG) 激光囊切除术.术后治疗术后治疗

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