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双侧急性闭角型青光眼患者激光虹膜切开术后的单侧减压性视网膜病变

Unilateral Decompression Retinopathy After Laser Iridotomy in a Patient with Bilateral Acute Angle-Closure Glaucoma.

作者信息

Sanz Silvia, Carnota Pablo, Lillo Juan, Planas Núria, Arruga Jorge

出版信息

Ophthalmic Surg Lasers Imaging. 2010 Mar 9:1-3. doi: 10.3928/15428877-20100215-21.

Abstract

Acute angle closure glaucoma is an ocular pathology characterized by a severe increase of intraocular pressure (IOP) that requires the realization of a peripheral Nd:YAG laser iridotomy as a treatment. Several complications have been described after a peripheral laser iridotomy such as hyphema, endothelial corneal damage, intraocular pressure spikes or cataract. Furthermore, retinal and subhyaloid haemorraghes have been observed after the treatment. This uncommon finding has been named decompression retinopathy. The case of an unilateral decompression retinopathy in a 67-year-old woman after the resolution of a bilateral episode of acute angle closure glaucoma was presented.

摘要

急性闭角型青光眼是一种眼部疾病,其特征是眼内压(IOP)急剧升高,需要进行周边Nd:YAG激光虹膜切开术作为治疗手段。周边激光虹膜切开术后已描述了几种并发症,如前房积血、角膜内皮损伤、眼压峰值或白内障。此外,治疗后还观察到视网膜和玻璃体下出血。这种罕见的发现被称为减压性视网膜病变。本文介绍了一名67岁女性在双侧急性闭角型青光眼发作缓解后出现单侧减压性视网膜病变的病例。

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