巩膜开窗手术联合局部应用丝裂霉素C治疗合并肾衰竭的小眼球葡萄膜渗漏：病例报告
Scleral window surgery and topical mitomycin C for nanophthalmic uveal effusion complicated by renal failure: case report.
作者信息
Suzuki Yumi, Nishina Sachiko, Azuma Noriyuki
机构信息
Department of Ophthalmology, National Center for Child Health and Development, 2-10-1, Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2007 May;245(5):755-7. doi: 10.1007/s00417-006-0403-6. Epub 2006 Oct 6.
PURPOSE
To describe the case of a 16-year-old patient with nanophthalmic uveal effusion associated with renal failure that was treated with scleral window surgery and topical administration of mitomycin C (MMC).
METHODS
Case report.
RESULTS
Total uveal effusion was restored in the nanophthalmic eyes. Partial-thickness scleral flap with deep sclerostomy was performed and topical MMC was administered to one quadrant of the equatorial sclera. The subretinal fluid resorbed gradually.
CONCLUSIONS
Topical MMC might relieve the blocked transscleral outflow of intraocular fluid in the small area of a sclerostomy in young patients with nanophthalmos or in patients with renal failure in whom uveal effusion occurs repeatedly.
目的
描述一名16岁患有小眼球葡萄膜渗漏并伴有肾衰竭的患者，接受巩膜开窗手术及丝裂霉素C（MMC）局部给药治疗的病例。
方法
病例报告。
结果
小眼球眼中的葡萄膜渗漏完全恢复。进行了带深层巩膜造口术的部分厚度巩膜瓣手术，并对赤道部巩膜的一个象限给予局部MMC。视网膜下液逐渐吸收。
结论
局部MMC可能会缓解小眼球年轻患者或反复发生葡萄膜渗漏的肾衰竭患者巩膜造口小区域内眼液经巩膜流出受阻的情况。
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