Baba Akinori, Matsuda Hiromichi, Shiba Takuya, Takahashi Yasuhiro, Tsuneoka Hiroshi
aDepartment of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
bDepartment of Ophthalmology, Daisan Hospital, The Jikei University School of Medicine, Komae, Japan.
Case Rep Ophthalmol. 2017 Mar 1;8(1):120-123. doi: 10.1159/000457787. eCollection 2017 Jan-Apr.
An 84-year-old woman presented with a 3-month history of conjunctival chemosis in the left eye. At the first examination, the chemosis neighbored the lacrimal caruncle and was localized in the inferomedial region of the conjunctiva. During eyelid closure, only the left lacrimal caruncle was exposed. One month later, the chemosis further extended to the inferolateral region. We debulked the lacrimal caruncle to prevent the exposure of the caruncle. One month after the surgery, conjunctival chemosis had resolved completely. At the postoperative 6-month follow-up, the patient showed no recurrence of chemosis.
一名84岁女性,左眼结膜水肿3个月。初次检查时,水肿靠近泪阜,位于结膜的内下区域。闭眼时,仅左侧泪阜暴露。1个月后,水肿进一步扩展至外下区域。我们对泪阜进行了减容手术以防止泪阜暴露。术后1个月,结膜水肿完全消退。术后6个月随访时,患者结膜水肿未复发。