[白内障手术继发持续性玻璃体动脉致视网膜中央动静脉联合阻塞一例]
[Combined central retinal artery and vein occlusion secondary to cataract surgery in a patient with persistent hyaloid artery].
作者信息
Doménech-Aracil N, Montero-Hernández J, Gracia-García A, Cervera-Taulet E
机构信息
Servicio Oftalmología, Hospital General Universitario de Valencia, Valencia, España.
Servicio Oftalmología, Hospital General Universitario de Valencia, Valencia, España.
出版信息
Arch Soc Esp Oftalmol. 2014 Apr;89(4):161-4. doi: 10.1016/j.oftal.2012.09.025. Epub 2012 Dec 23.
CASE REPORT
A 72 year-old woman referred for cataract surgery in her right eye. Biomicroscopy revealed a retrocapsular fibrotic tissue in communication with the optic nerve, suggesting a persistent hyaloid artery (PAH). A posterior capsule rupture unexpectedly occurred during lens hydrodissection. One day after surgery, fundus examination showed a combined central retinal artery and vein occlusion.
CONCLUSION
PAH is uncommon, but its presence may alert us of this possible complication during cataract surgery.
病例报告
一名72岁女性因右眼白内障手术前来就诊。生物显微镜检查发现后囊下纤维化组织与视神经相连，提示存在永存玻璃体动脉（PAH）。在晶状体水分离过程中意外发生了后囊破裂。术后一天，眼底检查显示视网膜中央动脉和静脉联合阻塞。
结论
PAH并不常见，但其存在可能提醒我们在白内障手术期间注意这种可能的并发症。
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