de Smet M D, Carruthers J, Lepawsky M
Department of Ophthalmology, University of British Columbia, Vancouver.
Can J Ophthalmol. 1987 Dec;22(7):381-3.
Anterior segment ischemia developed in a 62-year-old dysthyroid patient after two-muscle adjustable suture repair of vertical strabismus. Because of a quiescent pulmonary tuberculous focus he was not treated with systemic steroid therapy but rather with hyperbaric oxygen in the controlled environment of our hospital hyperbaric chamber. He tolerated this treatment well, and his acute symptoms almost completely resolved in 3 days. We believe this to be the first reported case of the use of hyperbaric oxygen in the management of anterior segment ischemia. We also believe it is the first reported case of anterior segment ischemia following surgery to two opposing, not contiguous, rectus muscles in dysthyroid ophthalmopathy.
一名62岁的甲状腺功能障碍患者在垂直斜视双肌肉可调节缝线修复术后发生了眼前节缺血。由于存在静止的肺结核病灶,他未接受全身类固醇治疗,而是在我院高压氧舱的可控环境中接受了高压氧治疗。他对这种治疗耐受性良好,急性症状在3天内几乎完全缓解。我们认为这是首例报道使用高压氧治疗眼前节缺血的病例。我们还认为这是首例报道的甲状腺功能障碍性眼病中,在两条相对而非相邻的直肌手术后发生眼前节缺血的病例。