全视网膜光凝术后的前房积脓性葡萄膜炎
Hypopyon uveitis following panretinal photocoagulation.
作者信息
Tyagi Mudit, Ambiya Vikas, Rani Padmaja Kumari
机构信息
Department of Retina and Vitreous and Uveitis Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Department of Retina, L V Prasad Eye Institute, Hyderabad, Telangana, India.
出版信息
BMJ Case Rep. 2016 Jul 5;2016:bcr2016215949. doi: 10.1136/bcr-2016-215949.
We report the case of a 58-year-old man with proliferative diabetic retinopathy in both eyes, and a history of recurrent anterior uveitis in the right eye, who underwent panretinal laser photocoagulation (PRP) for the retinopathy in both eyes, following which he developed hypopyon uveitis in the right eye. The condition was managed with topical steroids and cycloplegics, to which he readily responded. The case highlights that there is a breakdown of the blood aqueous barrier consequent to PRP. Patients with a history of uveitis are predisposed to develop recurrent uveitis after the said procedure and should be closely watched for such complications.
我们报告了一例58岁男性患者，双眼患有增殖性糖尿病视网膜病变，右眼有复发性前葡萄膜炎病史。该患者因双眼视网膜病变接受了全视网膜激光光凝术（PRP），术后右眼发生了前房积脓性葡萄膜炎。病情通过局部使用类固醇和睫状肌麻痹剂进行治疗，患者对此反应良好。该病例强调，PRP会导致血-房水屏障破坏。有葡萄膜炎病史的患者在上述手术后易发生复发性葡萄膜炎，应密切观察此类并发症。
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