一名曾因孔源性视网膜脱离接受巩膜扣带手术的近视患者出现重度眼综合征：鉴别诊断与处理

Heavy eye syndrome in a myopic patient with prior scleral buckle surgery for rhegmatogenous retinal detachment: Differential diagnosis and management.

作者信息

Alarfaj Motazz, Al-Owaid Abdullah, Alkhaldi Hamdah, Elkhamary Sahar, Sesma Gorka

机构信息

Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Am J Ophthalmol Case Rep. 2022 Feb 15;26:101418. doi: 10.1016/j.ajoc.2022.101418. eCollection 2022 Jun.

DOI:10.1016/j.ajoc.2022.101418

PMID:35243158

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8858879/

Abstract

PURPOSE

To present a challenging case of heavy eye syndrome (HES) in a 56-year-old female who previously underwent scleral buckle surgery in both eyes.

OBSERVATIONS

Ophthalmic tests indicated a diagnosis of HES, confirmed using pre and postoperative magnetic resonance imaging (MRI). A silicone band loop myopexy was performed, successfully improving large angle esotropia at primary position and motility.

CONCLUSIONS AND IMPORTANCE

MRI is essential to correctly identify HES, allowing a tailored surgical intervention that may lead to better outcomes for patients. Up to our knowledge, this is the first reported case of scleral fixated silicone band loop myopexy for HES in a previously scleral buckled patient.

摘要