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Nd:YAG激光房角穿刺术后迟发性脉络膜上腔出血:一例报告

Delayed suprachoroidal hemorrhage following Nd:YAG laser goniopuncture: a case report.

作者信息

Rabiolo Alessandro, Bettin Paolo, Fiori Marina, Ciampi Carlo, Di Matteo Federico, Bandello Francesco M

机构信息

Department of Ophthalmology, San Raffaele Scientific Institute, Vita-Salute University, Milan - Italy.

出版信息

Eur J Ophthalmol. 2015 May 25;25(4):e40-1. doi: 10.5301/ejo.5000578.

DOI:10.5301/ejo.5000578
PMID:25655595
Abstract

PURPOSE

To report a delayed suprachoroidal hemorrhage following Nd:YAG laser goniopuncture (LGP) in an eye with a previous deep sclerectomy.

METHODS

Case report.

RESULTS

A 75-year-old woman with advanced primary open-angle glaucoma underwent LGP due to unsatisfactory intraocular pressure (IOP) in her left eye, 1 month after undergoing deep sclerectomy in the same eye. Delayed suprachoroidal hemorrhage occurred the day after LGP execution.

CONCLUSIONS

Nd:YAG laser goniopuncture is often performed to enhance IOP control following deep sclerectomy. Although LGP is usually effective and safe, severe complications, such as delayed suprachoroidal hemorrhage, may occur after its execution.

摘要

目的

报告1例曾行深层巩膜切除术的眼在Nd:YAG激光房角穿刺术(LGP)后发生迟发性脉络膜上腔出血。

方法

病例报告。

结果

一名75岁晚期原发性开角型青光眼女性患者,因左眼眼压控制不佳,在同一眼行深层巩膜切除术后1个月接受了LGP。在LGP术后次日发生迟发性脉络膜上腔出血。

结论

Nd:YAG激光房角穿刺术常用于深层巩膜切除术后加强眼压控制。虽然LGP通常有效且安全,但术后可能发生严重并发症,如迟发性脉络膜上腔出血。

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引用本文的文献

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Nd:Yag laser goniopuncture for deep sclerectomy: efficacy and outcomes.用于深层巩膜切除术的钕:钇铝石榴石激光前房角穿刺术:疗效与结果
Graefes Arch Clin Exp Ophthalmol. 2016 Mar;254(3):535-9. doi: 10.1007/s00417-016-3271-8. Epub 2016 Jan 30.