Marenco Maria, Vagge Aldo, Traverso Carlo E, Iester Michele
Clinica Oculistica, DiNOGMI, University of Genoa, Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Case Rep Ophthalmol. 2020 Dec 16;11(3):658-667. doi: 10.1159/000508253. eCollection 2020 Sep-Dec.
The purpose was to report a case of immediate choroidal expansion after a needling procedure. This is a retrospective case report of an 80-year-old male with pseudoexfoliative glaucoma who underwent Xen 45 Gel stent implantation and then trabeculectomy in the right eye. During follow-up, several bleb needling procedures were required to treat bleb fibrosis. Before and after the last bleb needling, spectral-domain optical coherence tomography (SD-OCT) was performed to investigate choroidal changes. SD-OCT was also repeated 1 week later. SD-OCT showed instant choroidal expansion (both in the macular and peripapillary area) that was quite sustained throughout the 1 week-follow-up and after 5 months. Bleb needling can cause immediate choroidal expansion that can be quite sustained throughout several months of follow-up. SD-OCT is essential for detecting choroidal changes.
目的是报告一例针刺术后即刻脉络膜扩张的病例。这是一例80岁男性假性剥脱性青光眼患者的回顾性病例报告，该患者右眼接受了Xen 45凝胶支架植入术，随后又进行了小梁切除术。在随访期间，需要多次进行滤泡针刺术来治疗滤泡纤维化。在最后一次滤泡针刺术前和术后，进行了光谱域光学相干断层扫描（SD-OCT）以研究脉络膜变化。1周后也重复进行了SD-OCT检查。SD-OCT显示脉络膜即刻扩张（在黄斑区和视乳头周围区域均有），在整个1周的随访期间以及5个月后都相当持续。滤泡针刺可导致脉络膜即刻扩张，且在数月的随访期间相当持续。SD-OCT对于检测脉络膜变化至关重要。
