马凡综合征患者晶状体切除联合玻璃体切除术后迟发性巩膜切口裂开
Delayed sclerotomy wound dehiscence after lensectomy and vitrectomy in Marfan syndrome.
作者信息
Sridhar Jayanth, Chang Jonathan S, Aziz Hassan A, Erickson Benjamin P
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
出版信息
Oman J Ophthalmol. 2015 Sep-Dec;8(3):198-9. doi: 10.4103/0974-620X.169893.
Marfan syndrome (MFS) is associated with abnormal fibrillin development that can cause morbidity and mortality. A case of acute onset hypotony due to sclerotomy wound dehiscence 13 years after 20-gauge pars plana vitrectomy and lensectomy is reported in a patient with MFS. Slit lamp examination revealed a leaking sclerotomy wound and intraoperatively the source was noted to be the prior sclerotomy site. On postoperative follow-up, the patient's vision returned to baseline, and intraocular pressure normalized. Twenty-gauge sclerotomy wound dehiscence may occur years after surgery, especially in patients with abnormal collagen as in MFS.
马凡综合征（MFS）与原纤维蛋白发育异常有关，可导致发病和死亡。本文报告了一例马凡综合征患者，在20G玻璃体切割术联合晶状体切除术后13年，因巩膜切开伤口裂开导致急性低眼压。裂隙灯检查发现巩膜切开伤口渗漏，术中发现渗漏源为先前的巩膜切开部位。术后随访时，患者视力恢复至基线水平，眼压恢复正常。20G巩膜切开伤口裂开可能在手术后数年发生，尤其是在像马凡综合征患者这样存在胶原异常的患者中。
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