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意外玻璃体内地塞米松注射入晶状体的处理:一例报告

Management of Accidental Intravitreal Dexamethasone Injection Into the Lens: A Case Report.

作者信息

Siotto Pintor Emanuele, Demarinis Giuseppe, Tatti Filippo, Peiretti Enrico

机构信息

Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, ITA.

出版信息

Cureus. 2023 Mar 16;15(3):e36216. doi: 10.7759/cureus.36216. eCollection 2023 Mar.

Abstract

An accidental injection of a dexamethasone implant inside the crystalline lens was observed in the right eye of a 63-year-old woman suffering from a macular edema secondary to a central retinal vein occlusion. A 23-gauge pars plana vitrectomy and lensectomy followed by an intraocular lens implantation were performed to carefully remove the lens and save the whole implant in order to preserve its therapeutics effects. A strict follow-up over the following 3 months revealed an improving of macular edema and no postoperative complications. The injection of a dexamethasone implant into the lens could be effectively and successfully managed with a pars plana vitrectomy and lensectomy.

摘要

在一名63岁患有继发于视网膜中央静脉阻塞的黄斑水肿的女性右眼,观察到地塞米松植入物意外注入晶状体。随后进行了23G经平坦部玻璃体切除术和晶状体切除术,接着植入人工晶状体,以小心地取出晶状体并保存整个植入物,以保留其治疗效果。在接下来的3个月里进行严格随访,结果显示黄斑水肿有所改善且无术后并发症。通过经平坦部玻璃体切除术和晶状体切除术,可以有效且成功地处理将地塞米松植入物注入晶状体的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ce/10105898/7cef05a60d65/cureus-0015-00000036216-i01.jpg

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