玻璃体切除术后眶周皮下注射全氟丙烷耐受性良好。
Periorbital Subcutaneous Perfluoron Is Well Tolerated Following Intravitreal Surgery.
作者信息
Larochelle Ryan D, Shields Ryan A, Erickson Benjamin P, Silva A Ruwan
机构信息
Department of Ophthalmology, University of Colorado, Denver, CO, USA.
Department of Ophthalmology, Beaumont Health System, Royal Oak, MI, USA.
出版信息
J Vitreoretin Dis. 2020 Jan 21;4(4):337-339. doi: 10.1177/2474126419899768. eCollection 2020 Jul-Aug.
PURPOSE
Perfluorocarbon liquids (PFCLs) are well tolerated in intraocular surgery, but chronic exposure can cause inflammation. PFCL leakage into the orbit without significant sequelae has been reported, but PFCL leakage into the preseptal subcutaneous tissues has not been described.
METHODS
A case report is presented.
RESULTS
A 46-year-old man presented with hand motion vision from a ruptured globe and retained intraocular foreign body. Intraoperatively, the foreign body could not be removed, and PFCL extravasated from the posterior globe rupture. Postoperative imaging revealed hyperdense material in the orbit, lids, and superficial adnexal tissues. The patient tolerated the retained PFCL, and imaging 10 months later demonstrated interval resorption. The patient eventually developed ocular siderosis and underwent transconjunctival orbitotomy with foreign body extraction. Two years following the initial injury, his vision remained stable at 20/40 without further sequelae.
CONCLUSIONS
PFCL is well tolerated in the extraocular space and may resorb with conservative management.
目的
全氟碳化合物液体（PFCLs）在眼内手术中耐受性良好，但长期接触可引起炎症。有报道称PFCL漏入眼眶且无明显后遗症，但PFCL漏入眶隔前皮下组织的情况尚未见描述。
方法
本文报告一例病例。
结果
一名46岁男性因眼球破裂和眼内异物残留而仅有手动视力。术中，异物无法取出，PFCL从眼球后部破裂处渗出。术后影像学检查显示眼眶、眼睑和浅表附属器组织中有高密度物质。患者耐受了残留的PFCL，10个月后的影像学检查显示其逐渐吸收。该患者最终出现眼铁质沉着症，并接受了经结膜眶切开异物取出术。初始损伤两年后，他的视力稳定在20/40，无进一步后遗症。
结论
PFCL在眼外间隙耐受性良好，保守治疗可能会使其吸收。
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