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激光周边虹膜切开术后即刻出现的视网膜内层囊样改变。

Inner retinal cystoid changes immediately following laser peripheral iridotomy.

作者信息

Luvisi Joseph, Gammeltoft Elizabeth, Beischel Charles

机构信息

Storm Eye Institute, Medical University of South Carolina, United States.

出版信息

Am J Ophthalmol Case Rep. 2023 Jul 20;32:101898. doi: 10.1016/j.ajoc.2023.101898. eCollection 2023 Dec.

DOI:10.1016/j.ajoc.2023.101898
PMID:37521807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10374456/
Abstract

PURPOSE

To outline the patient course of a rare complication that occurred during routine laser peripheral iridotomy.

OBSERVATION

A patient developed symptomatic foveal cystoid changes with a central scotoma immediately following laser peripheral iridotomy. Successful treatment included topical anti-inflammatory therapy with complete resolution of cystoid changes and the central scotoma.

CONCLUSIONS AND IMPORTANCE

Laser peripheral iridotomy is a commonly performed procedure by comprehensive ophthalmologists and therefor it is important to document even the rarest side effects that can occur. Inner retinal changes can occur but overall, this patient did well with conservative therapy.

摘要

目的

概述在常规激光周边虹膜切开术期间发生的一种罕见并发症的患者病程。

观察结果

一名患者在激光周边虹膜切开术后立即出现有症状的黄斑囊样改变并伴有中心暗点。成功的治疗包括局部抗炎治疗,囊样改变和中心暗点完全消退。

结论及重要性

激光周边虹膜切开术是综合眼科医生常用的手术,因此记录即使是可能发生的最罕见的副作用也很重要。视网膜内层可能会发生改变,但总体而言,该患者经保守治疗后情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4e/10374456/6c368a505c13/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4e/10374456/dd7fb6bf75b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4e/10374456/6c368a505c13/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4e/10374456/dd7fb6bf75b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4e/10374456/6c368a505c13/gr2.jpg

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本文引用的文献

1
Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy.低能量钕:钇铝石榴石周边虹膜切开术后继发的单侧1A期黄斑裂孔
Cureus. 2021 Jan 10;13(1):e12603. doi: 10.7759/cureus.12603.
2
Traumatic Macular Hole: Diagnosis, Natural History, and Management.外伤性黄斑裂孔:诊断、自然病程及治疗
J Ophthalmol. 2019 Mar 19;2019:5837832. doi: 10.1155/2019/5837832. eCollection 2019.
3
Unilateral full-thickness macular hole formation following low-energy Nd:YAG peripheral iridotomy.低能量 Nd:YAG 周边虹膜切开术后单侧全层黄斑孔形成。
J Glaucoma. 2015 Mar;24(3):e14-5. doi: 10.1097/IJG.0000000000000097.
4
Bilateral macular holes immediately following Nd:YAG laser peripheral iridotomy.钕钇铝石榴石激光周边虹膜切开术后即刻出现双侧黄斑裂孔。
Photomed Laser Surg. 2008 Dec;26(6):615-6. doi: 10.1089/pho.2008.2243.
5
Stage 1 macular hole as a complication of laser iridotomy.作为激光虹膜切开术并发症的1期黄斑裂孔。
Arch Ophthalmol. 2006 Nov;124(11):1658-60. doi: 10.1001/archopht.124.11.1658.