马凡综合征中巩膜扣带侵蚀导致的低眼压
Hypotony caused by scleral buckle erosion in Marfan syndrome.
作者信息
Deramo V A, Haupert C L, Fekrat S, Postel E A
机构信息
Vitreoretinal Service, Department of Ophthalmology, Duke University Medical Center, Durham, NC 27710, USA.
出版信息
Am J Ophthalmol. 2001 Sep;132(3):429-31. doi: 10.1016/s0002-9394(01)00993-x.
PURPOSE
To describe hypotony caused by erosion of the conjunctiva and sclera by a silicone scleral buckle.
METHODS
Interventional case report. A 33-year-old man with Marfan syndrome presented with hypotony maculopathy and a collapsed globe 17 months after repair of retinal detachment with a silicone sponge and silicone encircling band.
RESULTS
Examination in the operating room revealed extrusion of the buckle through the conjunctiva and full-thickness scleral erosion. The silicone buckle was removed, and the scleral defect was closed with interrupted 8-0 nylon sutures. Postoperative glaucoma was treated with cyclophotocoagulation. Eight months after scleral repair, visual acuity was RE: 20/40, intraocular pressure was 10 mm Hg, and the retina was attached.
CONCLUSION
Full-thickness scleral erosion secondary to a silicone exoplant causing hypotony is a rare long-term complication in patients with thin sclera.
目的
描述硅酮巩膜扣导致结膜和巩膜侵蚀引起的低眼压。
方法
介入性病例报告。一名33岁的马凡综合征男性患者，在使用硅酮海绵和硅酮环扎带修复视网膜脱离17个月后，出现低眼压性黄斑病变和眼球塌陷。
结果
手术室检查发现扣带经结膜挤出，巩膜全层侵蚀。取出硅酮扣带，用8-0尼龙间断缝线关闭巩膜缺损。术后青光眼采用睫状体光凝治疗。巩膜修复8个月后，右眼视力为20/40，眼压为10 mmHg，视网膜复位。
结论
硅酮植入物继发全层巩膜侵蚀导致低眼压是巩膜薄的患者罕见的长期并发症。
Zotero 插件