在非故意的 Nd:YAG 激光囊切除术后,发病症发生在 phakic 眼睛中
Pedro Ogata Kodama1, Leonardo Luis Cassoni1, Carlos Yuji Nunomura1,2
1Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
American journal of ophthalmology case reports
|December 1, 2025
概括
一个不经意的气合格兰特 (Nd:YAG) 激光在一个 phakic 眼睛造成创伤性白内障和后破裂 (PCR). 手术干预成功恢复了视力,强调了严格的手术前方案的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 激光手术 激光手术是一种激光手术.
背景情况:
- 用酸添加酸花 (Nd:YAG) 激光后部囊切除术是一种常见的手术.
- 无意中将激光应用到光眼中是一种罕见但严重的并发症.
研究的目的:
- 报告由于无意中将 Nd:YAG 激光应用到光眼中导致视力丧失的情况.
- 要突出由此产生的并发症及其成功管理.
主要方法:
- 一名65岁的男性在Nd:YAG激光后出现了突然的视力丧失.
- 前部部分光学连贯断层扫描 (OCT) 证实后部囊破裂 (PCR).
- 进行了化,玻璃切除和眼内透镜 (IOL) 植入.
主要成果:
- 患者在无意中使用Nd:YAG激光后出现了创伤性白内障和PCR.
- 术后最佳校正视敏度 (BCVA) 在一个月内从手动改善到20/50.
- 手术管理导致了成功的视力恢复.
结论:
- 无意中将 Nd:YAG 激光放入光眼中,可能导致创伤性白内障和 PCR.
- 迅速的手术干预可以恢复视力.
- 严格遵守手术前评估和休息时间程序对于防止这种并发症至关重要.
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