自发性低流量间接性硬脑膜双侧颈内动脉海绵窦瘘的白内障摘除术
Cataract extraction in spontaneous low-flow indirect dural bilateral carotid cavernous fistula.
作者信息
Jethani Jitendra, Ajani J K
机构信息
Paediatric Ophthalmology & Strabismus Department, Aravind Eye Care System, 1, Anna Nagar, Madurai, 625020, Tamil Nadu, India.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2006 Mar;244(3):404-6. doi: 10.1007/s00417-005-0049-9. Epub 2005 Aug 4.
BACKGROUND
Cataract extraction in a carotid cavernous fistula can cause multiple intraoperative complications during surgery.
METHODS
This was a case of bilateral, indirect, carotid, cavernous fistula, type D. The patient developed cataract and visual deterioration in both eyes. We present the difficulties we encountered during extracapsular cataract surgery on one of the eyes.
RESULTS
Cataract extraction was done successfully. A self-sealing scleral incision was made. An intraocular lens was implanted.
CONCLUSION
Cataract extraction can be done in carotid cavernous fistulas; however, the surgeon should be extremely cautious during the surgery.
背景
在颈动脉海绵窦瘘患者中进行白内障摘除术可能会在手术过程中引发多种术中并发症。
方法
这是一例双侧、间接型D型颈动脉海绵窦瘘病例。患者双眼均出现白内障及视力下降。我们介绍了在其中一只眼睛进行白内障囊外摘除术时所遇到的困难。
结果
白内障摘除术成功完成。制作了一个可自行封闭的巩膜切口。植入了人工晶状体。
结论
颈动脉海绵窦瘘患者可以进行白内障摘除术；然而，手术过程中医生应极其谨慎。
Zotero 插件