一名43岁女性在接受超声眼睑紧致手术后急性白内障发展。
Acute cataract development in a 43-year-old woman after an ultrasound eyelid-tightening procedure.
作者信息
Levinger Nadav, Barequet Irina, Levinger Eliya, Ben Zaken Shalhevet Goldfeather, Levinger Shmuel
机构信息
Enaim Refractive Surgery Center, Jerusalem, Israel.
Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel.
出版信息
Am J Ophthalmol Case Rep. 2021 Oct 28;24:101226. doi: 10.1016/j.ajoc.2021.101226. eCollection 2021 Dec.
PURPOSE
The purpose of this article is to describe a severe side effect presentation of a bilateral cataract after treatment with intense focused ultrasound (IFUS) and subsequent uneventful cataract surgery.
OBSERVATIONS
A 43-year-old woman presented to the emergency room with decreased visual acuity several hours after undergoing an eyelid-tightening procedure using IFUS. The patient's vision was decreased (R>L), a result of an acute cataract, which had an unusual appearance and consistency. Several weeks later, visual acuity had decreased further in the right eye to 20/400 and the patient underwent uneventful laser-assisted cataract surgery with intraocular lens implantation, which resulted in full visual recovery.
CONCLUSIONS AND IMPORTANCE
This case emphasizes the need for particular attention to possible side effects resulting from periocular IFUS, including severe ocular impact requiring surgical intervention.
目的
本文旨在描述高强度聚焦超声（IFUS）治疗后双侧白内障出现的严重副作用表现以及随后顺利进行的白内障手术情况。
观察结果
一名43岁女性在接受IFUS眼睑紧致手术后数小时因视力下降就诊于急诊室。患者视力下降（右眼大于左眼），是急性白内障所致，其外观和质地异常。几周后，右眼视力进一步下降至20/400，患者接受了顺利的激光辅助白内障手术并植入人工晶状体，视力完全恢复。
结论与意义
该病例强调了需要特别关注眼周IFUS可能产生的副作用，包括需要手术干预的严重眼部影响。
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