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前房穿刺术治疗新生血管性青光眼后眼球减压性视网膜病变。

Ocular Decompression Retinopathy after Anterior Chamber Paracentesis for Neovascular Glaucoma.

机构信息

Department of Ophthalmology, Kaohsiung Armed Forces General Hospital, Kaohsiung 802, Taiwan.

Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.

出版信息

Medicina (Kaunas). 2021 Sep 29;57(10):1038. doi: 10.3390/medicina57101038.

DOI:10.3390/medicina57101038
PMID:34684075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8537183/
Abstract

Ocular decompression retinopathy (ODR) is a rare complication associated with intraocular pressure (IOP)-lowering interventions. We report a case of neovascular glaucoma in the left eye with marked IOP elevation (33 mmHg in the left eye). The IOP in the left eye did not improve despite medical treatment. Paracentesis of the left eye was then performed, and the IOP in the left eye decreased to 9 mmHg. One day after the procedure, several intraretinal hemorrhages, Roth spots, and subhyaloid hemorrhages appeared in the fundus of the left eye. Left eye retinopathy was likely ODR because of the rapid decline in IOP.

摘要

眼球减压性视网膜病变(ODR)是一种与眼内压(IOP)降低干预相关的罕见并发症。我们报告了一例左眼新生血管性青光眼,伴有明显的眼压升高(左眼 33mmHg)。尽管进行了药物治疗,但左眼的眼压仍未改善。随后对左眼进行了前房穿刺术,左眼眼压降至 9mmHg。术后 1 天,左眼眼底出现多处视网膜内出血、 Roth 斑和玻璃体内出血。由于眼压迅速下降,左眼视网膜病变可能是 ODR。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/5cf2e27e6e5b/medicina-57-01038-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/259a6bcfb90e/medicina-57-01038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/99d21fbdfcc9/medicina-57-01038-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/31644fcc6568/medicina-57-01038-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/3ee5f052e862/medicina-57-01038-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/5cf2e27e6e5b/medicina-57-01038-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/259a6bcfb90e/medicina-57-01038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/99d21fbdfcc9/medicina-57-01038-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/31644fcc6568/medicina-57-01038-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/3ee5f052e862/medicina-57-01038-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e387/8537183/5cf2e27e6e5b/medicina-57-01038-g005.jpg

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本文引用的文献

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2
Ocular decompression retinopathy: a review.眼减压性视网膜病变:综述。
Surv Ophthalmol. 2013 Nov-Dec;58(6):505-12. doi: 10.1016/j.survophthal.2012.11.001.
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Acta Ophthalmol. 2009 Feb;87(1):94-5. doi: 10.1111/j.1600-0420.2007.01083.x. Epub 2008 Nov 25.
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Retina. 2009 Feb;29(2):280-1. doi: 10.1097/IAE.0b013e318185ea54.
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Multiple retinal hemorrhage following anterior chamber paracentesis in uveitic glaucoma.葡萄膜炎性青光眼患者前房穿刺术后出现多发性视网膜出血。
Korean J Ophthalmol. 2006 Jun;20(2):128-30. doi: 10.3341/kjo.2006.20.2.128.
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Complications of glaucoma surgery. Ocular decompression retinopathy.
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