穿刺滤泡后脉络膜立即扩张。
Immediate Choroidal Expansion after Bleb Needling.
作者信息
Marenco Maria, Vagge Aldo, Traverso Carlo E, Iester Michele
机构信息
Clinica Oculistica, DiNOGMI, University of Genoa, Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
出版信息
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。
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