Ophthalmology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
Ophthalmology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
BMJ Case Rep. 2022 Apr 29;15(4):e248937. doi: 10.1136/bcr-2022-248937.
We report a case of a man in his 50s who developed open-angle glaucoma following neodymium-doped yttrium aluminium garnet (YAG) laser vitreolysis. Despite attempts to control the pressure with topical medication and selective laser trabeculoplasty (SLT), surgical intervention using a Baerveldt glaucoma valve (BGV) was needed after which the intraocular pressure was controlled successfully. This rare but serious complication highlights the fact that in certain cases long-term monitoring of intraocular pressure is necessary following laser vitreolysis.
我们报告了一例 50 多岁男性患者,在接受掺钕钇铝石榴石(Nd:YAG)激光玻璃体切割术后发生开角型青光眼。尽管尝试通过局部药物和选择性激光小梁成形术(SLT)来控制眼压,但仍需要使用 Baerveldt 青光眼引流阀(BGV)进行手术干预,此后眼压得到成功控制。这种罕见但严重的并发症表明,在某些情况下,激光玻璃体切割术后需要对眼压进行长期监测。