白内障手术后严重的前囊膜收缩引起的脉络膜积液和低眼压。
Choroidal effusion and hypotony caused by severe anterior lens capsule contraction following cataract surgery.
作者信息
Musa F, Aralikatti A K V, Prasad S
机构信息
Department of Ophthalmology, Arrowe Park Hospital, Wirral, United Kingdom.
出版信息
Eur J Ophthalmol. 2004 Mar-Apr;14(2):153-5. doi: 10.1177/112067210401400212.
PURPOSE
The case report describes a case of severe anterior capsular contraction associated with choroidal effusion.
CASE REPORT
An 81 year old female with primary open angle glaucoma underwent routine phacoemulsification cataract surgery. Eight weeks following surgery the anterior capsule opening had reduced to 3 mm in size. Intraocular pressure was found to be 4 mmHg and B scan ultrasound revealed a large choroidal effusion. Anterior capsulotomy with Nd:YAG laser was performed. At review, two weeks later, the choroidal effusion had resolved and visual acuity had recovered.
DISCUSSION
The Nd:YAG laser radial relaxing capsulotomies helped relieve the capsular contraction and associated traction on the ciliary body.
目的
本病例报告描述了一例伴有脉络膜积液的严重前囊收缩病例。
病例报告
一名81岁原发性开角型青光眼女性接受了常规超声乳化白内障手术。术后8周，前囊开口缩小至3毫米。眼压为4毫米汞柱，B超显示有大量脉络膜积液。使用钕钇铝石榴石激光进行了前囊切开术。两周后复查时，脉络膜积液已消退，视力恢复。
讨论
钕钇铝石榴石激光放射状松解性囊切开术有助于缓解囊收缩及对睫状体的相关牵拉。
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