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视网膜与青光眼:手术并发症

Retina and glaucoma: surgical complications.

作者信息

Sahoo Niroj Kumar, Balijepalli Pasyanthi, Singh Sumit Randhir, Jhingan Mahima, Senthil Sirisha, Chhablani Jay

机构信息

1Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, 500034 India.

2VST Center for Glaucoma Services, L V Prasad Eye Institute, Hyderabad, 500034 India.

出版信息

Int J Retina Vitreous. 2018 Sep 5;4:29. doi: 10.1186/s40942-018-0135-x. eCollection 2018.

Abstract

BACKGROUND

The close structural and microcirculatory co-relation between anterior and posterior segments of eye make them very vulnerable to complications when one of them is affected surgically. With the advent of anti-fibrotic agents in the management of glaucoma, the rates of vitreoretinal complications have become more frequent.

MAIN BODY

Common retinal complications after glaucoma surgeries include choroidal detachment; ocular decompression retinopathy; haemorrhagic choroidal detachment; hypotony maculopathy; malignant glaucoma; vitreous haemorrhage; bleb endophthalmitis; retinal detachment. Similarly, intraocular pressure rise is often noted after scleral buckle; pars plana vitrectomy; intravitreal gas injection; silicone oil injection; intravitreal steroid injection.

CONCLUSION

The article provides some insight into some of the complications after glaucoma and retina surgeries, including the pathogenetic mechanisms behind each complication and available management options.

摘要

背景

眼睛前段和后段在结构及微循环上紧密相关,这使得当其中一段接受手术时,它们极易出现并发症。随着抗纤维化药物在青光眼治疗中的应用,玻璃体视网膜并发症的发生率变得更高。

主体

青光眼手术后常见的视网膜并发症包括脉络膜脱离;眼减压性视网膜病变;出血性脉络膜脱离;低眼压性黄斑病变;恶性青光眼;玻璃体积血;滤过泡性眼内炎;视网膜脱离。同样,在巩膜扣带术、玻璃体切割术、玻璃体内气体注射、硅油注射、玻璃体内类固醇注射后,眼压升高也较为常见。

结论

本文对青光眼和视网膜手术后的一些并发症进行了探讨,包括每种并发症背后的发病机制以及可用的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13ab/6124013/28d12339b0ab/40942_2018_135_Fig1_HTML.jpg

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