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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.

DOI:10.1007/s00417-005-0049-9
PMID:16079996
Abstract

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.

摘要

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。

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引用本文的文献

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A rare case of bilateral spontaneous indirect caroticocavernous fistula treated previously as a case of conjunctivitis.一例罕见的双侧自发性间接性颈动脉海绵窦瘘,此前曾被误诊为结膜炎。
Ther Adv Ophthalmol. 2018 Jul 17;10:2515841418788303. doi: 10.1177/2515841418788303. eCollection 2018 Jan-Dec.
2
Cataract surgery in a case of carotid cavernous fistula.颈动脉海绵窦瘘病例中的白内障手术
Indian J Ophthalmol. 2014 Sep;62(9):953-4. doi: 10.4103/0301-4738.143942.
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Cataract surgery in patients with carotid cavernous fistula.伴有颈内动脉海绵窦瘘患者的白内障手术

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A simplified cataract grading system.一种简化的白内障分级系统。
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Classification and treatment of spontaneous carotid-cavernous sinus fistulas.自发性颈内动脉海绵窦瘘的分类与治疗
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