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飞秒激光辅助白内障手术期间前房出血:一例报告。

Intracameral bleeding during femtolaser assisted cataract surgery: A case report.

作者信息

Heroor Anagha, Vaidee Vikram

机构信息

Anil Eye Hospital, Dombivli, India.

出版信息

Am J Ophthalmol Case Rep. 2022 Jul 8;27:101655. doi: 10.1016/j.ajoc.2022.101655. eCollection 2022 Sep.

Abstract

PURPOSE

To report a case of anterior chamber bleeding that was noted post completion of laser during femtosecond laser assisted cataract surgery (FLACS).

OBSERVATIONS

A 54 yr old woman with no ocular and systemic morbidity underwent Right Eye FLACS.Vacum loss was noted due to patient's eye movements. Suction and Docking was achieved at the 2nd attempt, following which laser treatment was uneventful. An intracameral bleed was noted superiorly extending towards center of the anterior chamber. Cataract surgery with IOL implantation was uneventful. Post-operative course was uneventful.

CONCLUSIONS AND IMPORTANCE

This is the first report in literature of intracameral bleeding during FLACS. It is essential to proceed with caution in patients with repeated vacuum loss due to a higher risk of developing intraocular bleeds.

摘要

目的

报告一例在飞秒激光辅助白内障手术(FLACS)激光操作完成后出现前房出血的病例。

观察结果

一名54岁无眼部及全身疾病的女性接受了右眼FLACS手术。由于患者眼球运动,出现了负压丢失。第二次尝试时成功实现了抽吸和对接,随后激光治疗过程顺利。术中发现前房上方出现向中央延伸的前房内出血。白内障摘除联合人工晶状体植入手术过程顺利。术后恢复过程平稳。

结论与意义

这是文献中关于FLACS术中前房内出血的首例报告。对于因反复出现负压丢失而导致眼内出血风险较高的患者,手术时必须谨慎操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b82/9287357/c58790a70563/gr1.jpg

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