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双边急性角度关闭危机与机器人辅助子宫切除术后口服特拉马多尔使用有关:一个案例报告
Assaf Kratz1,2, Matan Bar1, Ran Matlov Kormas3
1Department of Ophthalmology, Soroka University Medical Center, Beer Sheva 8410101, Israel.
Reports (MDPI)
|January 21, 2026
概括
特拉马多尔很少会在易受影响的个体中引发急性角度关闭危机. 在这种罕见的特拉马多尔相关的眼睛紧急情况中,迅速治疗对于恢复视力至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
背景情况:
- 急性视角关闭危机是一种罕见但严重的眼科紧急情况.
- 之前关于与特拉马多尔相关的角度闭合的报道有限,在皮下注射后只有一个先前的病例.
研究的目的:
- 报告口服特拉马多尔后出现双边急性闭角危机的病例.
- 讨论特拉马多尔在导致解剖学敏感个体角关闭的潜在作用.
主要方法:
- 一个38岁的女性的案例介绍,在开始服用口服特拉马多尔后,她出现了急性角关闭危机.
- 眼科检查结果,包括眼内压,瞳孔大小和视镜.
- 用眼内压力降低疗法和 Nd:YAG 激光外周 iridotomy 的治疗.
主要成果:
- 患者经历了双边急性视角关闭危机,眼内压明显升高,角膜胀和瞳孔中部扩张.
- 迅速的医疗和激光治疗在48小时内导致了完全的解剖和功能恢复.
- 患者具有极端的解剖学易感性 (视远,短轴长度),使她倾向于角关闭.
结论:
- 口服特拉马多尔可能充当一个容许因素,降低敏感个体的角关闭值,而不是唯一的致病因子.
- 术后生理压力可能导致瞳孔膨胀,加剧了风险.
- 早期识别和眼科转诊对于管理与特拉马多尔相关的潜在角度关闭危机至关重要.
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