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一名接受二极管激光治疗严重早产儿视网膜病变的脓毒症婴儿发生角膜水肿的快速进展。

Rapid Development of Corneal Hydrops in a Septic Infant who Received Diode Laser for Aggressive Posterior Retinopathy of Prematurity.

作者信息

Kabatas Emrah Utku, Ozer Pinar Altiaylik, Kurtul Bengi Ece, Beken Serdar, Zenciroglu Aysegul, Okumus Nurullah

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2015 Oct;46(9):984-5. doi: 10.3928/23258160-20151008-15.

Abstract

A premature baby who was hospitalized with the diagnosis of sepsis was treated with diode laser photocoagulation for aggressive posterior retinopathy of prematurity. Diffuse corneal ectasia and corneal hydrops developed in the right eye, and hyphema and corneal hydrops developed on the left eye on postoperative day 12. The patient died because of cardiovascular collapse and hemodynamic instability. Sepsis may be a contributory factor to the clinical susceptibility of the patient for the postoperative corneal effects of the laser. This situation has not been previously reported in the literature.

摘要

一名因败血症诊断而住院的早产儿接受了二极管激光光凝治疗,以治疗侵袭性早产儿视网膜病变。术后第12天,右眼出现弥漫性角膜扩张和角膜水肿,左眼出现前房积血和角膜水肿。患者因心血管衰竭和血流动力学不稳定死亡。败血症可能是导致患者对激光术后角膜效应临床易感性的一个因素。这种情况此前尚未见文献报道。

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