眼内注射曲安奈德后急性视网膜坏死
Acute retinal necrosis after intraocular triamcinolone acetonide injection.
作者信息
Chang Susie, Weissgold David J, Singer Jack A, Sobrin Lucia
机构信息
From the *Retina Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts; †Retina Center of Vermont and Department of Ophthalmology, University of Vermont College of Medicine, Burlington, Vermont; and ‡Singer Eye Center, Randolph, Vermont.
出版信息
Retin Cases Brief Rep. 2010 Fall;4(4):306-8. doi: 10.1097/ICB.0b013e3181b5ee58.
PURPOSE
The purpose of this study was to report a case of acute retinal necrosis after combined cataract surgery and intracameral triamcinolone acetonide injection in a healthy elderly patient.
METHODS
Testing used was a clinical examination including fundus photographs, fluo-rescein angiography, and serologic testing.
RESULTS
A 75-year-old healthy white woman undergoing cataract extraction received an injection of intracameral triamcinolone acetonide as a substitute for postoperative topical steroids. Two weeks later, the patient developed acute retinal necrosis, which responded well to systemic antiviral therapy.
CONCLUSION
Acute retinal necrosis is a rare, but potentially devastating, complication that may be associated with intraocular triamcinolone acetonide injection.
目的
本研究旨在报告一例健康老年患者在白内障手术联合前房注射曲安奈德后发生急性视网膜坏死的病例。
方法
所采用的检查为临床检查，包括眼底照相、荧光素血管造影和血清学检测。
结果
一名接受白内障摘除术的75岁健康白人女性接受了前房注射曲安奈德，以替代术后局部使用类固醇。两周后，该患者发生急性视网膜坏死，全身抗病毒治疗反应良好。
结论
急性视网膜坏死是一种罕见但可能具有毁灭性的并发症，可能与眼内注射曲安奈德有关。
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