非穿透性 YAG 激光周边虹膜切开术后伴脉络膜渗漏的渗出性视网膜脱离：病例报告。
Choroidal Effusion with Exudative Retinal Detachment following Non Perforating YAG-Laser Peripheral Iridotomy: A Case Report.
机构信息
Department of Sense Organs, Sapienza University of Rome, Rome, Italy.
Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, Italy.
出版信息
Ocul Immunol Inflamm. 2024 Apr;32(3):358-361. doi: 10.1080/09273948.2023.2166850. Epub 2023 Jan 26.
AIM
To report a case of choroidal effusion and exudative retinal detachment following a non perforating Yttrium-Aluminium-Garnett (YAG)-laser iridotomy.
DESIGN
Case report.
METHODS
A 53-year-old woman complains of sudden onset of blurred vision in her left eye 15 days after the attempt of YAG-laser peripheral iridotomy. Clinical examination revealed 3+ flare and 1+ cells in the anterior chamber, 2+ vitreous cells, swollen optic nerve, ciliochoroidal effusion, and exudative retinal detachment involving macular area in the left eye. After starting treatment with prednisone 25 mg once daily, choroidal effusion and retinal detachment were managed successfully without any surgical approach.
CONCLUSION
Serous choroidal and exudative retinal detachments are rare complications following YAG-laser procedure. In our case, this clinical presentation occurs after a non perforating iridotomy. In medical practice, exudative retinal detachment should be always considered after YAG-laser iridotomy.
目的
报告一例非穿通性钇铝石榴石（YAG）激光虹膜切开术后出现脉络膜积液和渗出性视网膜脱离。
设计
病例报告。
方法
一位 53 岁女性在尝试 YAG 激光周边虹膜切开术后 15 天出现左眼突发性视力模糊。临床检查显示左眼前房有 3+闪辉和 1+细胞，2+玻璃体细胞，视神经肿胀，睫状体脉络膜积液和累及黄斑区的渗出性视网膜脱离。开始每日口服泼尼松 25 mg 治疗后，脉络膜积液和视网膜脱离成功得到控制，无需手术。
结论
YAG 激光手术后出现浆液性脉络膜和渗出性视网膜脱离是罕见的并发症。在我们的病例中，这种临床表现发生在非穿通性虹膜切开术后。在医疗实践中，YAG 激光虹膜切开术后应始终考虑到渗出性视网膜脱离的可能性。
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