Valldeperas Xavier, Arango Alexandra, Blazquez Ana, Romano Mario
Department of Ophthalmology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Case Rep Ophthalmol. 2010 Sep 29;1(2):66-70. doi: 10.1159/000321250.
An 11-year-old boy presented with a total retinal detachment in his right eye. He had a bilateral 360° argon laser treatment for an active retinopathy of prematurity performed after his birth. He underwent an uneventful pars plana vitrectomy, encircling band, 810-nm diode endolaser and heavy silicone oil (Densiron(®)) endotamponade. A tonic pupil and abolition of corneal sensitivity, with a large epithelial defect, were observed during the postoperative period. We discuss the possible etiopathogenic mechanisms of the long and short ciliary nerves damage, and the role that retinopathy of prematurity and retinal detachment laser treatment and the encircling band placement might have played in the development of the tonic pupil and the corneal anesthesia.
一名11岁男孩右眼出现完全性视网膜脱离。他出生后因活动性早产儿视网膜病变接受了双眼360°氩激光治疗。他接受了顺利的玻璃体切除术、环扎带、810纳米二极管眼内激光及重硅油（Densiron(®)）眼内填充。术后观察到瞳孔强直及角膜感觉丧失，并伴有大的上皮缺损。我们讨论了长睫状神经和短睫状神经损伤可能的发病机制，以及早产儿视网膜病变、视网膜脱离激光治疗和环扎带植入在瞳孔强直和角膜麻醉发生过程中可能起的作用。
