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[术后晚期脉络膜脱离]

[Late postoperative choroidal detachment].

作者信息

Zarnowski Tomasz, Rejdak Robert, Choragiewicz Tomasz

机构信息

Katedra i I Klinika Okulistyki Uniwersytetu Medycznego w Lublinie.

出版信息

Klin Oczna. 2008;110(4-6):196-8.

Abstract

Three eyes of three patients with advanced primary open angle glaucoma developed hypotony and choroidal detachment 2-3 months following technically uncomplicated trabeculectomy, in one patient and facoemulsification in two patients. The two latter patients had undergone trabeculectomy previously. No wound or bleb leakage were found. Patients did not receive any antiglaucoma medications before the detachment. After treatment with topical corticosteroids and cycloplegic eyedrops both patients showed marked clinical improvement within 2-6 weeks. However, one of the patients after phacoemulsification developed recurrent choroidal detachment shortly after application of timolol drops used due to IOP elevation. Detachment resolved spontaneously after discontinuation of timolol.

摘要

三名晚期原发性开角型青光眼患者的三只眼睛,在小梁切除术(1例)和白内障超声乳化术(2例)术后2至3个月出现低眼压和脉络膜脱离,后两例患者此前曾接受过小梁切除术。未发现伤口或滤过泡渗漏。在脉络膜脱离前,患者未接受任何抗青光眼药物治疗。经局部使用皮质类固醇和睫状肌麻痹眼药水治疗后,两名患者均在2至6周内出现明显的临床改善。然而,其中一名接受白内障超声乳化术的患者,在因眼压升高使用噻吗洛尔滴眼液后不久,脉络膜脱离复发。停用噻吗洛尔后,脱离自行缓解。

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