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睫状体囊肿继发闭角型青光眼经阈下经巩膜睫状体光凝术治疗。病例报告。

Angle-closure glaucoma secondary to ciliary body cysts treated with subliminal transscleral cyclophotocoagulation. Report of a case.

机构信息

Clínica Oftalmos, Instituto de la Visión de Yucatán, Mérida, Yucatán, Mexico.

Facultad de Medicina, Universidad Autónoma de Yucatán, Mérida, Yucatán, Mexico.

出版信息

Arch Soc Esp Oftalmol (Engl Ed). 2021 Dec;96(12):653-657. doi: 10.1016/j.oftale.2020.10.010. Epub 2021 Jul 9.

Abstract

Angle-closure glaucoma secondary to ciliary body cysts is a rare condition. Different pharmacological and surgical treatment modalities have been described. Among these, subliminal transscleral cyclophotocoagulation is a promising alternative due to fewer ocular complications and the same intraocular pressure reducing efficacy. The case is presented of a 33-year-old woman with a 6-year history of uncontrolled ocular hypertension, and a one-month history of glaucoma, treated with multiple drugs and surgical interventions, with persistent elevated intraocular pressure. She came to the clinic due to eye pain and photophobia of the right eye of 3 days onset prior to her visit. An ultrasound biomicroscopy was performed, finding cysts in the ciliary body. It was then decided to perform subliminal transscleral cyclophotocoagulation, achieving a reduction in intraocular pressure, which was maintained after three months of follow-up.

摘要

睫状体囊肿继发闭角型青光眼是一种罕见的情况。已经描述了不同的药理学和手术治疗方法。其中,亚阈经巩膜睫状体光凝术由于眼并发症较少和相同的降眼压效果,是一种很有前途的替代方法。本文报告了一位 33 岁女性患者,患有 6 年的未控制的眼高压病史,以及 1 个月的青光眼病史,曾接受多种药物和手术干预,但眼压持续升高。她因右眼疼痛和畏光 3 天前来就诊。进行了超声生物显微镜检查,发现睫状体有囊肿。因此决定进行亚阈经巩膜睫状体光凝术,眼压降低,随访 3 个月后眼压得到维持。

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