Sinha Manish Kumar, Narayanan Raja, Chhablani Jay Kumar
Srimati. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad Eye Research Foundation, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute , Hyderabad , India.
Semin Ophthalmol. 2014 May;29(3):166-8. doi: 10.3109/08820538.2013.807846. Epub 2013 Aug 15.
We report the case of a 42-year-old man with uncontrolled diabetes mellitus who presented to us with diminution of vision in both eyes for the past two years. On examination, both eyes showed features of high-risk proliferative diabetic retinopathy and the patient was advised of panretinal photocoagulation (PRP). He underwent the first sitting of PRP in both eyes. On the following day, he developed hypopyon uveitis in the right eye. He was treated with topical steroid and cycloplegic, and complete resolution of hypopyon was achieved over the next three days. This case highlights the importance of adequately controlled diabetes mellitus before PRP. Hypopyon uveitis could be a complication of PRP in patients with uncontrolled diabetes mellitus who respond to frequent topical steroid and cycloplegic.
我们报告了一例42岁的男性患者,其糖尿病控制不佳,在过去两年中出现双眼视力下降。检查发现,双眼均呈现高危增殖性糖尿病视网膜病变的特征,建议该患者进行全视网膜光凝(PRP)治疗。他接受了双眼的首次PRP治疗。次日,他右眼发生了前房积脓性葡萄膜炎。给予局部类固醇和睫状肌麻痹剂治疗,在接下来的三天内前房积脓完全消退。该病例凸显了在进行PRP治疗前充分控制糖尿病的重要性。对于糖尿病控制不佳且对频繁局部类固醇和睫状肌麻痹剂有反应的患者,前房积脓性葡萄膜炎可能是PRP的一种并发症。