Ebrahim Benyamin, Frohman Larry, Zarbin Marco, Bhagat Neelakshi
The Institute of Ophthalmology and Visual Science, New Jersey Medical School (NJMS), Newark, USA.
Case Rep Med. 2009;2009:970502. doi: 10.1155/2009/970502. Epub 2009 Jul 8.
Tonic pupil was observed in a 67 year-old patient following a retinal detachment repair with pars plana vitrectomy, endolaser and silicone oil tamponade performed under retrobulbar anesthesia. The probable location of disturbance is the postganglionic parasympathetic fibers in the short ciliary nerves along their course to the pupil in the suprachoroidal space. A likely explanation for this phenomenon is injury to short ciliary nerves by endolaser treatment.
在一名67岁患者接受视网膜脱离修复手术(在球后麻醉下进行玻璃体切割术、眼内激光光凝术和硅油填充)后观察到强直性瞳孔。干扰的可能部位是短睫状神经中的节后副交感神经纤维,其在脉络膜上腔中沿其至瞳孔的行程。这种现象的一个可能解释是眼内激光治疗对短睫状神经造成损伤。