妊娠患者孔源性视网膜脱离的管理

Management of a rhegmatogenous retinal detachment in a pregnant patient.

作者信息

Brooks Cassandra C, Brodie Frank, Brodie Rachel, Buck Matthew, Postel Eric A

机构信息

Department of Ophthalmology, Duke University, Durham, NC, USA.

Department of Obstetrics and Gynecology, Duke University, Durham, NC, USA.

出版信息

Am J Ophthalmol Case Rep. 2020 Apr 13;18:100708. doi: 10.1016/j.ajoc.2020.100708. eCollection 2020 Jun.

DOI:10.1016/j.ajoc.2020.100708

PMID:32368690

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7184526/

Abstract

PURPOSE

To describe the management of a rhegmatogenous retinal detachment (RRD) in a pregnant patient.

OBSERVATIONS

A 30-year-old, 26-week pregnant female presented with curtain vision loss in the left eye. Exam findings were significant in the left eye for an inferior fovea-sparing RRD. Care was coordinated and discussed with anesthesia and OB/GYN. The patient underwent surgery with monitored anesthesia care and a 41 scleral buckle, cryotherapy and C3F8 gas. The retina remained attached at 4 months post-operatively. A healthy girl was delivered via spontaneous vaginal delivery at 39 weeks.

CONCLUSION

Safe and successful treatment of RRD in pregnant patients can be achieved with careful coordination between ophthalmology, anesthesia, and obstetrics. An understanding of pregnancy specific considerations is important in order to optimize patient outcomes.

摘要

目的

描述一名孕妇孔源性视网膜脱离（RRD）的治疗情况。

观察结果

一名30岁、孕26周的女性因左眼出现幕状视野缺损前来就诊。左眼检查结果显示为下方保留黄斑的RRD，情况较为严重。与麻醉科和妇产科进行了会诊并讨论了治疗方案。患者在监测麻醉护理下接受了手术，植入了41号巩膜扣带，进行了冷冻疗法并注入了C3F8气体。术后4个月视网膜仍保持附着状态。孕39周时通过自然阴道分娩产下一名健康女婴。