一名儿科患者因反复夜间眼部受压导致低眼压性黄斑病变和脉络膜脱离。
Hypotony maculopathy and choroidal detachment from repeated nocturnal ocular compression in a pediatric patient.
作者信息
Ditch Elizabeth, Bloom Jeffrey, Ellis Michael, Sisk Robert A
机构信息
Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Kettering Health, Dayton, OH, USA.
出版信息
Am J Ophthalmol Case Rep. 2022 Aug 12;27:101680. doi: 10.1016/j.ajoc.2022.101680. eCollection 2022 Sep.
PURPOSE
To report clinical outcomes of a pediatric patient with unilateral reversible vision loss secondary to hypotony from repeated accidental nocturnal ocular compression from circumaural headphone wear.
OBSERVATIONS
A 17-year-old male with pathologic myopia and history of retinopathy of prematurity previously treated with laser ablation in both eyes presented with reduced visual acuity in his right eye from choroidal detachment and hypotony maculopathy. In the absence of uveitis and intraocular pressure lowering medications, it was determined that repeated nocturnal ocular compression from circumaural headphones created episodes of hypotony. With avoidance of this behavior and in the absence of pathologic aqueous dynamics, intraocular pressure normalized with gradual resolution of choroidal thickening and restoration to baseline visual acuity.
CONCLUSIONS AND IMPORTANCE
Persistent and prolonged ocular compression, even unintentionally, can create hypotony with risk for vision loss, maculopathy, and choroidal detachment.
目的
报告一名儿科患者的临床结果，该患者因夜间佩戴环绕式耳机反复意外压迫眼部导致低眼压继发单侧可逆性视力丧失。
观察结果
一名17岁男性，患有病理性近视，有早产儿视网膜病变病史，双眼曾接受激光消融治疗，因脉络膜脱离和黄斑部病变导致右眼视力下降。在没有葡萄膜炎和降眼压药物的情况下，确定环绕式耳机反复夜间压迫眼部导致了低眼压发作。避免这种行为且不存在病理性房水动力学问题时，眼压恢复正常，脉络膜增厚逐渐消退，视力恢复至基线水平。
结论与重要性
持续且长时间的眼部压迫，即使是无意的，也可能导致低眼压，存在视力丧失、黄斑病变和脉络膜脱离的风险。
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