23G 玻切术后交感性眼炎一例的新型光学相干断层扫描结果。
NOVEL OPTICAL COHERENCE TOMOGRAPHY FINDINGS OF A CASE OF SYMPATHETIC OPHTHALMIA AFTER 23-GAUGE VITRECTOMY.
机构信息
Department of Ophthalmology, Sheffield Teaching Hospitals, Sheffield, United Kingdom; and.
Department of Otorhinolaryngology, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Queensland, Brisbane, Australia.
出版信息
Retin Cases Brief Rep. 2021 Sep 1;15(5):543-547. doi: 10.1097/ICB.0000000000000847.
PURPOSE
Sympathetic ophthalmia (SO) is a rare panuveitis after trauma to one eye. We present a case of SO after 23-gauge transconjunctival vitrectomy, including optical coherence tomography evidence of response to treatment. To our knowledge, this is the first SO case report to include spectral domain optical coherence tomography images of Dalen-Fuchs nodules.
METHODS
Observational case report of a case of SO after two pars plana vitrectomies in the fellow eye.
RESULTS
A 67-year-old woman who had an operation for her pseudophakic left eye for a macula-off retinal detachment. She had two surgeries and later on had a total retinal detachment with vision of no perception of light. Eighteen months later, she presented back with a panuveitis with vitritis in her other eye and a visual acuity of 6/18. Dalen-Fuchs denoting SO was found. Treatment was commenced, and multimodal imaging was performed.
CONCLUSION
Sympathetic ophthalmia is a known complication after vitrectomy. Optical coherence tomography can be invaluable in monitoring diagnosis and progression of Dalen-Fuchs nodules.
目的
交感性眼炎（SO）是眼外伤后罕见的全葡萄膜炎。我们报告了一例 23G 经结膜玻璃体切除术引起的 SO 病例，包括对治疗反应的光学相干断层扫描证据。据我们所知，这是首例报告包括 Dalen-Fuchs 结节光谱域光学相干断层扫描图像的 SO 病例。
方法
对同眼行两次标准经睫状体平坦部玻璃体切除术后患 SO 的病例进行观察性病例报告。
结果
一位 67 岁女性，左眼因孔源性视网膜脱离行白内障超声乳化吸除+人工晶状体植入术后。她接受了两次手术，后来左眼完全视网膜脱离，无光感。18 个月后，她因右眼全葡萄膜炎伴玻璃体炎症就诊，视力为手动/18。发现 Dalen-Fuchs 结节提示 SO。开始进行治疗，并进行了多模态成像。
结论
交感性眼炎是玻璃体切除术后已知的并发症。光学相干断层扫描对视盘 Fuchs 结节的诊断和进展的监测具有重要价值。
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