在白内障手术后,与塞福洛キシ姆相关的视网膜出血性血管炎
Neslisah Kutlu Uzakgider1, Seda Karaca Adiyeke2
1Department of Ophthalmology, Bakırçay Üniversitesi, Izmir, Turkey. neslisah.kutlu@gmail.com.
BMC ophthalmology
|November 26, 2025
概括
出血性闭塞性视网膜血管炎 (HORV) 是用于白内障手术的内腔塞素的罕见并发症. 意识至关重要,特别是在后囊破裂后,以管理这种严重的疾病.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 视网膜血管炎 视网膜血管炎
背景情况:
- 在白内障手术后,室内素是预防内炎的标准.
- 出血性闭塞视网膜血管炎 (HORV) 是一种罕见但严重的并发症,与 cefuroxime 有关.
- 增加报告对于提高对HORV风险因素的认识和理解至关重要.
研究的目的:
- 在复杂的白内障手术中报告内腔塞福洛キシ姆后的HORV病例.
- 突出显示HORV的临床表现和潜在的风险因素.
主要方法:
- 追溯性审查白内障手术 (2015-2023) 后破裂 (PCR) 或玻璃体并发症.
- 对因视力丧失而转诊视网膜病房的患者的分析.
- 通过临床发现和 fundus fluorescein angiography (FFA) 来诊断出血性视网膜血管炎 (HRV).
主要成果:
- 在PCR后接受 cefuroxime 预防的245只眼睛中发现了三例HRV.
- 患者出现视力受损,视网膜血管封闭,出血和斑点变白.
- FFA显示出低光,外周血管封闭和缺血;进行了泛视网膜光凝 (PRP).
结论:
- 在PCR复杂的白内障手术中,标准剂量室内塞福洛キシ姆可以发生HRV.
- 外科医生必须意识到这种罕见的并发症,特别是当后囊完整性受到损害时.
- 风险增加,当素可能到达玻璃体时.
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