后房型可植入 Collamer 透镜植入术后乙酰唑胺引起的双侧脉络膜积液。
Acetazolamide-induced bilateral choroidal effusion following insertion of a phakic implantable collamer lens.
机构信息
Instituto Oftalmologico Europeo, Spain.
出版信息
J Refract Surg. 2013 Aug;29(8):570-2. doi: 10.3928/1081597X-20130719-07.
PURPOSE
To present the case of a 28-year-old man with acetazolamide-induced bilateral choroidal effusion after uneventful surgery of the second eye in delayed sequential bilateral insertion of an implantable collamer lens for hyperopia.
METHODS
Case report.
RESULTS
Surgery of the left eye was uneventful, and the implantable collamer lens was implanted 3 weeks later in the right eye. Twenty-four hours after surgery, the patient presented with bilateral shallow anterior chamber, vault 0, and myopic shift (-8 diopters) in both eyes. B-scan ultrasound showed choroidal thickening in both eyes, which was consistent with choroidal effusion syndrome. A causal relationship was suspected with oral acetazolamide, which had been prescribed after surgery. When the drug was stopped, the condition improved slowly and resolved completely within 5 days.
CONCLUSIONS
Choroidal effusion should be included in the differential diagnosis of shallow anterior chamber after implantation of an implantable collamer lens.
目的
报告 1 例 28 岁男性患者，在双眼顺序植入可植入式胶原透镜矫正远视术后，第 2 只眼手术顺利，3 周后行第 2 只眼手术时，使用乙酰唑胺后出现双侧睫状体脉络膜脱离。
方法
病例报告。
结果
左眼手术顺利，3 周后右眼植入可植入式胶原透镜。术后 24 小时，患者双眼出现浅前房、眼压 0、双眼近视漂移（-8 屈光度）。B 型超声显示双眼脉络膜增厚，符合脉络膜渗漏综合征。术后口服乙酰唑胺，怀疑与该药物有关。停药后，病情缓慢改善，5 天内完全缓解。
结论
植入可植入式胶原透镜后出现浅前房时，应考虑脉络膜渗漏综合征。
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