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因Nd:YAG激光玻璃体溶解术治疗玻璃体混浊导致医源性晶状体后囊破裂及后续并发症:一例报告

Iatrogenic Posterior Lens Capsule Rupture and Subsequent Complications due to Nd:YAG Laser Vitreolysis for Vitreous Floaters: A Case Report.

作者信息

Huang Ke-Hao, Weng Tzu-Heng, Chen Ying-Jen, Chang Yun-Hsiang

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2018 Nov 1;49(11):e214-e217. doi: 10.3928/23258160-20181101-21.

DOI:10.3928/23258160-20181101-21
PMID:30457659
Abstract

Nd:YAG laser vitreolysis has been used as a noninvasive approach to treat visually significant vitreous strands and floaters. However, severe vision-threatening complications may occur. The authors describe a rare case of a 60-year-old woman who had suffered rupture of the posterior lens capsule with subsequent cataract formation 1 week post-Nd:YAG laser vitreolysis in the right eye. The authors performed phacoemulsification, pars plana vitrectomy, and intraocular lens implantation at the ciliary sulcus. At 1 month post-surgery, the patient's visual acuity had not recovered well and optical coherence tomography showed epiretinal membrane (ERM) formation. Thus, she underwent secondary pars plana vitrectomy for ERM removal. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e214-e217.].

摘要

钕

钇铝石榴石激光玻璃体溶解术已被用作一种非侵入性方法来治疗具有明显视觉影响的玻璃体条索和飞蚊症。然而,可能会发生严重的视力威胁性并发症。作者描述了一例罕见病例,一名60岁女性在右眼进行钕:钇铝石榴石激光玻璃体溶解术后1周出现晶状体后囊破裂并随后形成白内障。作者进行了超声乳化白内障吸除术、睫状体平坦部玻璃体切除术,并在睫状沟植入人工晶状体。术后1个月,患者视力恢复不佳,光学相干断层扫描显示有视网膜前膜(ERM)形成。因此,她接受了二次睫状体平坦部玻璃体切除术以去除视网膜前膜。[《眼科手术、激光与影像学杂志》。2018年;49:e214 - e217。]

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