有窄角型青光眼病史的患者在进行单纯性白内障手术后发生的眼部减压性视网膜病变。
Ocular Decompression Retinopathy After Uncomplicated Cataract Surgery in a Patient With a History of Narrow-Angle Glaucoma.
作者信息
Dohlman Thomas H, Chee Ru-Ik, Seidman Carly, Rafla-Demetrious Leila, Gupta Mrinali P
机构信息
Department of Ophthalmology, Weill Cornell Medical College, New York, NY.
出版信息
J Glaucoma. 2016 Aug;25(8):e756-8. doi: 10.1097/IJG.0000000000000442.
PURPOSE
To describe a case of ocular decompression retinopathy following uncomplicated cataract surgery in a patient with phacomorphic narrow-angle glaucoma.
METHODS
Case report with wide-field fundus imaging.
RESULTS
A 57-year-old woman with a history of phacomorphic narrow-angle glaucoma presented 1 day after uncomplicated cataract extraction with intraocular lens insertion of the left eye with hand motion vision. She was found to have decompression retinopathy with large prefoveal subhyaloid hemorrhage. The hemorrhages gradually improved over time with observation.
CONCLUSIONS
We report a case of decompression retinopathy after uncomplicated cataract extraction in a patient with phacomorphic narrow-angle glaucoma. This report expands upon the procedures after which decompression retinopathy has been diagnosed and suggests a need for careful perioperative management in patients with glaucoma.
目的
描述一例晶状体溶解性窄角型青光眼患者在白内障手术无并发症后发生的眼部减压性视网膜病变。
方法
采用广角眼底成像的病例报告。
结果
一名有晶状体溶解性窄角型青光眼病史的57岁女性，在左眼无并发症白内障摘除联合人工晶状体植入术后1天出现手动视力。发现其患有减压性视网膜病变，伴有黄斑中心凹前巨大玻璃体下出血。经观察，出血随时间逐渐改善。
结论
我们报告了一例晶状体溶解性窄角型青光眼患者在白内障手术无并发症后发生减压性视网膜病变的病例。本报告扩展了已诊断减压性视网膜病变的手术范围，并提示青光眼患者围手术期需要仔细管理。
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