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巩膜扣带术后 16 年,水凝胶外植体挤出上眼睑。

Extrusion of hydrogel exoplant into upper eyelid 16 years after a scleral buckle procedure.

机构信息

Ophthalmic Consultants of Boston, 50 Staniford Street, Suite 600, Boston, MA, USA.

出版信息

Indian J Ophthalmol. 2011 May-Jun;59(3):238-9. doi: 10.4103/0301-4738.81047.

DOI:10.4103/0301-4738.81047
PMID:21586850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3120248/
Abstract

Sixteen years after scleral buckle surgery with a hydrogel episcleral exoplant, a 43-year-old woman presented with progressive binocular diplopia, ptosis, and an expanding mass in her upper eyelid. She underwent surgical removal of the hydrogel exoplant through an anterior approach. The exoplant proved to be friable, fragmented, and encapsulated in a fibrous tissue; the exoplant was removed in its entirety. Postoperatively, the eyelid mass resolved, while her diplopia and ptosis improved slightly.

摘要

十六年前,患者因巩膜扣带术接受了水凝胶巩膜外植体治疗,此后四年,她出现了进行性双眼复视、上睑下垂和上眼睑不断增大的肿块。她通过前路手术切除了水凝胶外植体。外植体易碎、呈碎片状,并被纤维组织包裹;外植体被完整取出。术后,眼睑肿块消退,复视和上睑下垂略有改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/52ba3001a1a9/IJO-59-238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/3f4cd5c5b4b0/IJO-59-238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/66c1f9f1a6f3/IJO-59-238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/52ba3001a1a9/IJO-59-238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/3f4cd5c5b4b0/IJO-59-238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/66c1f9f1a6f3/IJO-59-238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddc/3120248/52ba3001a1a9/IJO-59-238-g003.jpg

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本文引用的文献

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2
Complications of hydrogel explants used in scleral buckling surgery.巩膜扣带术中使用的水凝胶植入物的并发症。
Am J Ophthalmol. 2004 Jan;137(1):96-100. doi: 10.1016/s0002-9394(03)00873-0.
3
Late swelling and removal of Miragel buckles: a comparison with silicone indentations.米拉凝胶扣的晚期肿胀及移除:与硅胶压痕的比较
Ophthalmic Plast Reconstr Surg. 2016 Sep-Oct;32(5):329-32. doi: 10.1097/IOP.0000000000000527.
Retina. 2003 Oct;23(5):641-6. doi: 10.1097/00006982-200310000-00006.
4
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Ophthalmic Surg Lasers. 2002 May-Jun;33(3):240-2.
5
The MAI hydrophilic implant for scleral buckling: a review.用于巩膜扣带术的MAI亲水性植入物:综述
Ophthalmic Surg. 1984 Jun;15(6):511-5.