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应用气压性视网膜光凝术治疗与眼球贯通伤相关的视网膜脱离。

Management of retinal detachment in block related globe perforation with pneumatic retinopexy.

机构信息

Dr. R. P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

出版信息

Indian J Ophthalmol. 2013 Mar;61(3):131-2. doi: 10.4103/0301-4738.109385.

DOI:10.4103/0301-4738.109385
PMID:23514652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3665045/
Abstract

Retinal detachment after ocular perforation related to local anesthesia is a common complication, which is usually associated with a poor prognosis despite complex vitreoretinal surgical procedures. We report a case of 62-year-old male with cataract surgery done 4 weeks back with nasal retinal detachment with a posterior break. Pneumatic retinopexy was performed and laser barrage of the breaks was done the next day when the retina got attached. A vision of 20/30 was achieved at the end of 2 months. To the best of our knowledge, this is a first case report in literature where pneumatic retinopexy was used to manage a retinal detachment caused by block-related perforation.

摘要

眼球穿孔相关的局部麻醉后视网膜脱离是一种常见的并发症,尽管进行了复杂的玻璃体视网膜手术,但预后通常较差。我们报告了一例 62 岁男性病例,4 周前接受了白内障手术,伴有鼻侧视网膜脱离和后部裂孔。行空气视网膜光凝术,次日视网膜贴附后行裂孔激光光凝术。2 个月后视力达到 20/30。据我们所知,这是文献中首例报道使用空气视网膜光凝术治疗因阻塞性穿孔引起的视网膜脱离的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d167/3665045/e8cb9bb5a358/IJO-61-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d167/3665045/e8cb9bb5a358/IJO-61-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d167/3665045/e8cb9bb5a358/IJO-61-131-g001.jpg

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Management of retinal detachment in block related globe perforation with pneumatic retinopexy.应用气压性视网膜光凝术治疗与眼球贯通伤相关的视网膜脱离。
Indian J Ophthalmol. 2013 Mar;61(3):131-2. doi: 10.4103/0301-4738.109385.
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本文引用的文献

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Management of ocular perforations resulting from peribulbar anaesthesia.球周麻醉所致眼球穿孔的处理
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Scleral perforation during retrobulbar and peribulbar anesthesia: risk factors and outcome in 50,000 consecutive injections.球后和球周麻醉期间的巩膜穿孔:50000次连续注射的危险因素及结果
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