MIRAgel眼内侵袭导致复杂视网膜脱离的治疗——病例报告
Management of complex retinal detachment from intraocular invasion of MIRAgel-a case report.
作者信息
Hsieh Ming-Chieh, Chen Yan-Ting, Chen San-Ni
机构信息
Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan.
Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
出版信息
Am J Ophthalmol Case Rep. 2021 May 14;23:101103. doi: 10.1016/j.ajoc.2021.101103. eCollection 2021 Sep.
PURPOSE
To retrospectively report a case of complex retinal detachment secondary to an intraocular episcleral hydrogel explant (MIRAgel, MIRA Inc., Waltham, MA, USA) invasion.
OBSERVATIONS
The severe vitreous inflammation, shifting nature of the subretinal fluid, and absence of proliferative vitreopathy 2 months following multiple surgeries for removal of fragmented MIRA gel in the present case made the diagnosis of complex retinal detachment. With the assistance of the fragmatome and Perfluorocarbon, the subretinal MIRA gel, and turbid, yellowish subretinal fluid were removed successfully. The retina was re-attached without recurrence.
CONCLUSIONS AND IMPORTANCE
By using the pars plana ultrasonic fragmatome, the intraocular MIRAgel was able to be removed while maintaining the integrity of the retina and globe.
目的
回顾性报告一例因眼内巩膜下水凝胶植入物（MIRAgel，美国马萨诸塞州沃尔瑟姆市MIRA公司）侵入继发的复杂性视网膜脱离病例。
观察结果
在本病例中，多次手术切除破碎的MIRA凝胶2个月后，出现严重的玻璃体炎症、视网膜下液的移动性以及无增殖性玻璃体视网膜病变，这些表现使得诊断为复杂性视网膜脱离。在碎核刀和全氟碳化合物的辅助下，成功移除了视网膜下的MIRA凝胶以及浑浊、淡黄色的视网膜下液。视网膜复位且未复发。
结论与意义
通过使用经平坦部超声碎核刀，能够在保持视网膜和眼球完整性的同时移除眼内的MIRAgel。
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