白内障超声乳化吸除术后第一天出现急性黄斑水肿和浆液性脱离：一例报告。
Acute macular edema and serous detachment on the first day after phacoemulsification surgery: A case report.
作者信息
Chlasta-Twardzik Edyta, Nowińska Anna, Wylęgała Edward
机构信息
Chair and Clinical Department of Ophthalmology, School of Medicine in Zabrze, Medical University of Silesia in Katowice, Poland.
Clinical Department of Ophthalmology, District Railway Hospital in Katowice, Poland.
出版信息
Am J Ophthalmol Case Rep. 2020 Sep 1;20:100905. doi: 10.1016/j.ajoc.2020.100905. eCollection 2020 Dec.
PURPOSE
To report a case of an acute macular edema with serous retinal detachment on the first day after uncomplicated phacoemulsification surgery with the use of a standard dose of intracameral cefuroxime at the end of the surgery.
OBSERVATIONS
A 46-year-old man underwent a technically uneventful right eye phacoemulsification surgery using a standard dose (1mg/0.1mL) of cefuroxime solution injected into the anterior chamber at the end of the surgery. Serous macular edema and detachment were in our case observed on the first post-operative day. Without surgical intervention fast clinical recovery was observed and best corrected visual acuity improved to the final visual outcome of 1.0, which was satisfactory 10 days after surgery.
CONCLUSIONS AND IMPORTANCE
Acute serous macular detachment and edema should be considered in cases of poor visual acuity in the early postoperative period. The role of a standard dose of cefuroxime toxicity should be more widely explored and discussed.
目的
报告1例在白内障超声乳化手术顺利完成并于手术结束时使用标准剂量前房注射头孢呋辛后第一天出现急性黄斑水肿伴浆液性视网膜脱离的病例。
观察结果
一名46岁男性接受了右眼白内障超声乳化手术，手术技术上顺利，在手术结束时向前房注射了标准剂量（1mg/0.1mL）的头孢呋辛溶液。在术后第一天观察到我们病例中的浆液性黄斑水肿和脱离。未经手术干预，观察到临床快速恢复，最佳矫正视力提高到最终视力1.0，术后10天效果满意。
结论与意义
术后早期视力不佳的病例应考虑急性浆液性黄斑脱离和水肿。应更广泛地探索和讨论标准剂量头孢呋辛毒性的作用。
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