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Current concepts of ocular manifestations in Marfan syndrome.马凡综合征眼部表现的当前概念。
Surv Ophthalmol. 2006 Nov-Dec;51(6):561-75. doi: 10.1016/j.survophthal.2006.08.008.
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Intrusion of an encircling buckle after retinal detachment surgery.视网膜脱离手术后环形扣带侵入。
Am J Ophthalmol. 2003 Nov;136(5):942-4. doi: 10.1016/s0002-9394(03)00464-1.
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The Marfan syndrome.马凡综合征。
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Postoperative complications of scleral buckling surgery.巩膜扣带术的术后并发症
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Marfan syndrome and other systemic disorders with congenital ectopia lentis. A Danish national survey.马凡综合征及其他伴有先天性晶状体异位的全身性疾病。一项丹麦全国性调查。
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Ascertainment and severity of Marfan syndrome in a Scottish population.苏格兰人群中马凡综合征的确诊情况及严重程度。
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马凡综合征患者巩膜扣带的同时挤压与内陷

Simultaneous extrusion and intrusion of a scleral buckle in a patient with Marfan's syndrome.

作者信息

Oyewole K T, Shortt A J, Ramkissoon Y, Sullivan P M

机构信息

Department of General Medicine, West Middlesex University Hospital, London, UK.

出版信息

BMJ Case Rep. 2011 Feb 17;2011:2182. doi: 10.1136/bcr.08.2009.2182.

DOI:10.1136/bcr.08.2009.2182
PMID:22715166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3063891/
Abstract

An Asian male in his late 50s with known Marfan's syndrome (MFS) presented with sudden deterioration in vision and loss of globe structure 13 years after the placement of a silicone scleral encircling band for the management of retinal detachment. Surgical exploration revealed simultaneous intrusion and extrusion of the encircling band resulting in globe perforation and collapse. This was managed by removal of the encircling band and a scleral patch graft over the defect. This case highlights that in patients with thin sclera, such as in MFS, scleral perforation is a potential complication that should be considered in patients undergoing scleral buckling. Management of this complication is also technically difficult because of impaired healing of the sclera in these patients.

摘要

一名50多岁的亚洲男性，患有马凡综合征（MFS），在为治疗视网膜脱离植入硅胶巩膜环扎带13年后，出现视力突然恶化和眼球结构丧失。手术探查发现环扎带同时向内侵入和向外挤出，导致眼球穿孔和塌陷。通过移除环扎带并在缺损处进行巩膜补片移植进行处理。该病例强调，对于巩膜较薄的患者，如马凡综合征患者，巩膜穿孔是巩膜扣带术患者应考虑的潜在并发症。由于这些患者巩膜愈合受损，处理这种并发症在技术上也很困难。