Rouw Joe, Shaver Jonathan F
Hamilton Mill Eye Care, Buford, GA, USA.
Optometry. 2008 Apr;79(4):193-6. doi: 10.1016/j.optm.2007.10.013.
Vitreous wicking syndrome is most commonly associated with cataract surgery. This is a phenomenon whereby the vitreous prolapses through a corneal or scleral wound forming a "wick" on the extraocular surface. Multiple complications have been associated with vitreous wicking, including endophthalmitis, cystoid macular edema, and pupillary block glaucoma.
This article presents 2 cases of vitreous wicking, both after extracapsular cataract extraction. The first case represents a more typical presentation, whereas the second case represents an associated complication.
With optometrists more involved in postoperative care, associated complications such as vitreous wick syndrome after intraocular surgery must be recognized, and management of these cases must be handled appropriately to prevent vision-threatening complications.
玻璃体渗漏综合征最常与白内障手术相关。这是一种玻璃体通过角膜或巩膜伤口脱出在眼外表面形成“灯芯”的现象。玻璃体渗漏会引发多种并发症,包括眼内炎、黄斑囊样水肿和瞳孔阻滞性青光眼。
本文介绍了2例白内障囊外摘除术后发生玻璃体渗漏的病例。第一例是较为典型的表现,而第二例则是相关并发症。
随着验光师更多地参与术后护理,必须认识到眼内手术后诸如玻璃体灯芯综合征等相关并发症,并且必须妥善处理这些病例以预防威胁视力的并发症。