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与残留全氟碳液体相关的延迟性炎症。

Delayed inflammation associated with retained perfluorocarbon liquid.

机构信息

Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2011 Sep-Oct;59(5):396-8. doi: 10.4103/0301-4738.83623.

DOI:10.4103/0301-4738.83623
PMID:21836352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3159328/
Abstract

A 55-year-old woman, with history of cataract surgery 1 year back, presented with features of ocular inflammation for last 3 months. She had no history of any other intraocular surgery. On examination, anterior segment showed frothy material in the inferior angle with moderate anterior chamber reaction (cells+/flare+) and sulcus intraocular lens with large posterior capsule rent. Fundoscopy showed multiple, small to medium-sized transparent bubbles of perfluorocarbon liquid (PFCL) with membranes in the vitreous cavity. Ultrasonography confirmed the presence of PFCL in the vitreous cavity. Pars plana vitrectomy with anterior chamber wash was done which led to good visual recovery. To conclude, retained PFCL can cause late onset fibrinous inflammation after a quiescent period but surgical intervention may lead to good visual outcome.

摘要

一位 55 岁女性,1 年前行白内障手术,3 个月来出现眼部炎症表现。她没有其他眼内手术史。检查发现前节下角有泡沫状物质,伴有中等程度的前房反应(细胞+/闪光+)和巩膜内眼晶状体伴大后囊撕裂。眼底镜检查显示玻璃体腔内有多个小至中等大小的氟碳液体(PFCL)透明气泡和膜。超声检查证实玻璃体腔内存在 PFCL。行睫状体平坦部玻璃体切除术联合前房冲洗,视力恢复良好。总之,PFCL 残留可在静止期后引起迟发性纤维蛋白炎症,但手术干预可能导致良好的视力结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/84c57e13b0a4/IJO-59-396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/9d8703508508/IJO-59-396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/44ad1c4fc4ed/IJO-59-396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/84c57e13b0a4/IJO-59-396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/9d8703508508/IJO-59-396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/44ad1c4fc4ed/IJO-59-396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9934/3159328/84c57e13b0a4/IJO-59-396-g003.jpg

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本文引用的文献

1
Effects of perfluorocarbon liquids and silicone oil on human retinal pigment epithelial cells and retinal ganglion cells.全氟碳液体和硅油对人视网膜色素上皮细胞及视网膜神经节细胞的影响。
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白内障手术后前段手术医生回收掉落的晶状体核后,全氟化碳液体留在玻璃体腔中。
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The use of perfluorocarbon liquids in the repositioning of posteriorly dislocated intraocular lenses.全氟碳化合物液体在重新定位后脱位人工晶状体中的应用。
Ophthalmology. 1993 Jul;100(7):1055-9. doi: 10.1016/s0161-6420(13)31541-3.
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Secondary glaucoma associated with retained perfluorophenanthrene.与全氟菲残留相关的继发性青光眼
Am J Ophthalmol. 1994 Aug 15;118(2):253-5. doi: 10.1016/s0002-9394(14)72909-5.
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Vitreon, a new perfluorocarbon.维特龙,一种新型全氟碳化合物。
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Retina. 1991;11(4):375-84.