的毒性呈现为双边光学神经病变.
Fatima-Tun-Nissa Raza1, Can Kocasarac2
1Department of Neuro-Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA.
Ochsner journal
|December 17, 2025
概括
一个受损的肩部假肢在一个76岁的女性中引起了有毒的视神经病变. 治疗涉及更换假肢,这降低了含量,改善了视力.
科学领域:
- 眼科医生 眼科 眼科
- 毒理学 毒理学 毒理学
- 整形外科 整形外科 整形外科
背景情况:
- 是一种铁磁金属,已知会引起全身毒性,包括神经病变.
- 关节假肢性症是指由假肢关节产生的系统性毒性.
- 由于高水平的眼睛毒性是罕见的.
研究的目的:
- 报告一种罕见的双边有毒视神经病变,由损坏的肩部假肢造成.
- 为了突出关节假肢化与眼睛毒性之间的联系.
主要方法:
- 一名76岁的女性出现视力丧失.
- 进行了临床检查,光学连贯性断层扫描和实验室测试.
- 从肩部假肢中进行了突流体分析.
主要成果:
- 患者表现出有毒的视神经病变,视力丧失和视野缺陷.
- 光学连贯断层扫描显示了视网膜神经纤维层的逐渐稀薄.
- 突液中的含量显著升高 (35倍正常).
结论:
- 这是第一个报告的有毒视神经病变的病例,由受损的肩部假肢引起.
- 假肢关节置换成功降低了的水平,改善了视力.
- 在患有不明原因的视神经病变和假肢关节的患者中,应考虑关节修复性.
相关概念视频
Photoreceptors and Visual Pathways
8.6K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
8.6K
Glaucoma: Overview
1.2K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.2K
Angle Closure Glaucoma: Treatment
1.1K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.1K
Open Angle Glaucoma: Treatment
928
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
928
Anticholinesterase Agents: Poisoning and Treatment
1.5K
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
1.5K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
318
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
318


