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葡萄肿:前房积血手术的一种并发症。

Staphyloma: a complication of surgery for hyphema.

作者信息

Mason G I, Peyman G A, Jampol L M, Lesser R L

出版信息

J Pediatr Ophthalmol Strabismus. 1978 Nov-Dec;15(6):386-91. doi: 10.3928/0191-3913-19781101-13.

DOI:10.3928/0191-3913-19781101-13
PMID:310875
Abstract

Anterior staphylomas developed in two young patients as a postoperative complication of hyphema extractions through corneoscleral sections. The patients, aged five and nine years, underwent evacuation of the hyphemas after rebleeding caused medically unmanageable intraocular pressure elevations. Postoperatively, both patients received corticosteroids and had elevation of intraocular pressure. To repair the staphyloma, a scleral overlay patch graft was performed in one patient, but the intraocular pressure remained elevated and the staphyloma gradually recurred. Enucleation of the eye was eventually required. Resection of the staphylomatous area with lensectomy and complete vitrectomy was performed in the second patient. After four years of follow-up this patient continues to do well.

摘要

两名年轻患者在通过角巩膜切口进行前房积血抽吸术后出现前部葡萄肿,作为术后并发症。这两名患者年龄分别为5岁和9岁,在因再次出血导致眼压升高且药物治疗无法控制后,进行了前房积血清除术。术后,两名患者均接受了皮质类固醇治疗,且眼压升高。为修复葡萄肿,其中一名患者进行了巩膜覆盖修补术,但眼压仍持续升高,葡萄肿逐渐复发,最终需要摘除眼球。第二名患者进行了葡萄肿区域切除、晶状体切除术和完全玻璃体切除术。经过四年的随访,该患者情况良好。

相似文献

1
Staphyloma: a complication of surgery for hyphema.葡萄肿:前房积血手术的一种并发症。
J Pediatr Ophthalmol Strabismus. 1978 Nov-Dec;15(6):386-91. doi: 10.3928/0191-3913-19781101-13.
2
The role of vitrectomy instrumentation in the treatment of severe traumatic hyphema.玻璃体切割手术器械在严重外伤性前房积血治疗中的作用。
Am J Ophthalmol. 1979 Nov;88(5):930-4. doi: 10.1016/0002-9394(79)90574-9.
3
Vitrectomy instrumentation for surgical evacuation of total anterior chamber hyphema and control of recurrent anterior chamber hemorrhage.用于手术清除全前房积血及控制复发性前房出血的玻璃体切割手术器械。
Ophthalmic Surg. 1979 Jan;10(1):34-7.
4
Trabeculectomy for traumatic hyphema with increased intraocular pressure.
Am J Ophthalmol. 1994 Feb 15;117(2):155-9. doi: 10.1016/s0002-9394(14)73070-3.
5
Surgical therapy of traumatic hyphema.外伤性前房积血的手术治疗
Ophthalmic Surg. 1983 Apr;14(4):343-5.
6
Rebleeding after traumatic hyphema.外伤性前房积血后的再出血。
Arch Ophthalmol. 1986 Feb;104(2):206-10. doi: 10.1001/archopht.1986.01050140060020.
7
Traumatic hyphema.外伤性前房积血
J Pediatr Ophthalmol Strabismus. 1986 Mar-Apr;23(2):95-7. doi: 10.3928/0191-3913-19860301-12.
8
Corneal blood staining at low pressures.低压下的角膜血染
Arch Ophthalmol. 1985 May;103(5):654-5. doi: 10.1001/archopht.1985.01050050046014.
9
Traumatic hyphema: surgical vs medical management.
Ann Ophthalmol. 1975 May;7(5):659-62, 664-6, 668-70.
10
Giant anterior scleral staphyloma caused by blunt ocular trauma: a case report.由钝器眼外伤引起的巨大前巩膜葡萄肿:一例报告。
BMC Ophthalmol. 2023 Nov 14;23(1):457. doi: 10.1186/s12886-023-03188-6.