Lim Lik Thai, Ah-Kee Elliott Y, House Beve P, Walker Jonathan D
Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK.
Monklands Hospital, Monkscourt Avenue, Airdrie, North Lanarkshire ML6 0JS, UK.
Case Rep Emerg Med. 2014;2014:347868. doi: 10.1155/2014/347868. Epub 2014 Nov 26.
Background. Intraocular gas bubbles are commonly used in retinal surgery. There are specific management guidelines that need to be followed to ensure surgical success, and there are also unique ophthalmic and systemic complications that can occur in such patients. Objective. To educate emergency department personnel about important issues in the management of patients who have a gas-filled eye following retinal surgery. Case Report. A patient with a gas-filled eye developed several complications including pain, severe vision loss, high-grade atrioventricular (AV) block, and pneumocephalus. Conclusion. Awareness of potential problems that may arise in patients with gas-filled eyes who present to the emergency department may help minimize morbidity for such patients.
背景。眼内气泡常用于视网膜手术。为确保手术成功，需要遵循特定的管理指南，此类患者还可能出现独特的眼科和全身并发症。目的。对急诊科人员进行有关视网膜手术后眼内充气患者管理重要问题的教育。病例报告。一名眼内充气患者出现了多种并发症，包括疼痛、严重视力丧失、高度房室传导阻滞和气颅。结论。了解到急诊科中眼内充气患者可能出现的潜在问题，有助于此类患者将发病率降至最低。
