术后早期眼眶蜂窝织炎后自发性青光眼引流装置脱出——病例报告及文献综述
Spontaneous glaucoma drainage device extrusion after early postoperative orbital cellulitis - Case report and literature review.
作者信息
AlDarrab Abdulrahman, AlBahlal Abdullah, Dibaji Mohammed, AlZaid Abdulrahman, AlJadaan Ibrahim, Elkhamary Sahar, Schellini Silvana
机构信息
Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, Prince Sattam Bin Abdulaziz University, AlKharj, Saudi Arabia.
出版信息
Saudi J Ophthalmol. 2019 Apr-Jun;33(2):192-195. doi: 10.1016/j.sjopt.2018.12.005. Epub 2019 Jan 7.
A 70-year-old glaucoma patient who underwent Ahmed Glaucoma Valve (AGV) implantation developed orbital cellulitis (OC) 5 days postoperatively. On presentation, the valve was not exposed and no intraocular involvement was noted. After successful treatment of OC with intravenous and oral antibiotics, the patient presented to the clinic with the AGV completely extruded from the eye. There are only 10 previous cases of OC reported in the literature following glaucoma drainage device (GDD) implantation and no previous reports of spontaneous AVG extrusion. Close observation and thorough evaluation of the tube and plate positions are warranted to achieve better outcomes.
一名70岁接受了艾哈迈德青光眼引流阀（AGV）植入术的青光眼患者在术后5天发生了眼眶蜂窝织炎（OC）。就诊时，引流阀未暴露，未发现眼内受累情况。在用静脉和口服抗生素成功治疗OC后，该患者前来诊所就诊，发现AGV已完全从眼中挤出。文献中此前仅报道了10例青光眼引流装置（GDD）植入术后发生OC的病例，且此前没有关于AGV自发挤出的报道。需要密切观察并对引流管和引流板的位置进行全面评估，以获得更好的治疗效果。
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