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纳米小眼球白内障超声乳化术治疗青光眼的病例报告

Phacoemulsification in Nanophthalmic Eye, a Way to Manage Glaucoma: Case Report.

作者信息

Bamefleh Dania, Schargel Konrad, Semidey Valmore A, Altahan Faisal A, Schargel Edward

机构信息

Glaucoma Division King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Vitreoretinal Division King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

出版信息

Case Rep Ophthalmol Med. 2024 Jul 1;2024:2633679. doi: 10.1155/2024/2633679. eCollection 2024.

DOI:10.1155/2024/2633679
PMID:39286000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11405109/
Abstract

A rare condition called nanophthalmos causes variable degrees of vision impairment. One may present with nanophthalmos as a hereditary or sporadic condition. There have been documented cases of nanophthalmos treated with bilateral cataract extraction and intraocular lens (IOL) implantation for intractable secondary glaucoma or chronic angle-closure glaucoma. We describe a case of closed-angle glaucoma in a nanophthalmic eye with increased intraocular pressure (IOP) on full medical treatment, along with concurrent drug side effects. As a first surgical procedure, we recommend phacoemulsification of the clear lens + IOL. The challenge in treating nanophthalmic eyes lies in managing the possibility of developing glaucoma in an eye where anatomical conditions make surgery extremely risky. This must be balanced against the advantages of lessening exposure contact in the trabecular meshwork and optimizing the anterior chamber for potential future glaucoma surgery, which can improve the prognosis in these cases. Lastly, it is critical to have a thorough conversation with the patient about the aims, risks, and advantages. The patient's understanding and expectations should also be crystal apparent. The primary objective should always be to enhance the circumstances for the most effective glaucoma therapy, not to perform refractive surgery.

摘要

一种名为小眼球症的罕见病症会导致不同程度的视力损害。小眼球症可表现为遗传性或散发性疾病。已有文献记载，对于难治性继发性青光眼或慢性闭角型青光眼，可通过双侧白内障摘除及人工晶状体（IOL）植入术治疗小眼球症。我们描述了一例小眼球眼中的闭角型青光眼病例，在接受全面药物治疗后眼压（IOP）仍升高，同时伴有药物副作用。作为首个手术步骤，我们建议行透明晶状体超声乳化术 + IOL植入术。治疗小眼球眼的挑战在于，要应对在解剖条件使手术极具风险的眼中发生青光眼的可能性。这必须与减少小梁网暴露接触以及为未来可能的青光眼手术优化前房的优势相权衡，这有助于改善这些病例的预后。最后，与患者就治疗目的、风险和优势进行深入沟通至关重要。患者的理解和期望也应清晰明确。首要目标始终应是改善最有效的青光眼治疗条件，而非进行屈光手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/af1270cee5cd/CRIOPM2024-2633679.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/145e535bf81c/CRIOPM2024-2633679.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/72772d187fa0/CRIOPM2024-2633679.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/dd0436990e17/CRIOPM2024-2633679.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/776aeb33609e/CRIOPM2024-2633679.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/af1270cee5cd/CRIOPM2024-2633679.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/145e535bf81c/CRIOPM2024-2633679.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/213ecfb579f2/CRIOPM2024-2633679.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/e60df3ee295d/CRIOPM2024-2633679.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/c1a016bcf0bc/CRIOPM2024-2633679.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/f312050db26c/CRIOPM2024-2633679.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/72772d187fa0/CRIOPM2024-2633679.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/dd0436990e17/CRIOPM2024-2633679.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/776aeb33609e/CRIOPM2024-2633679.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f4/11405109/af1270cee5cd/CRIOPM2024-2633679.009.jpg

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本文引用的文献

1
UVEAL EFFUSION ASSOCIATED WITH LOCALIZED SCLERODERMA BECAUSE OF SCLERAL FIBROSIS.葡萄膜渗出与局限性硬皮病有关，原因是巩膜纤维化。
Retin Cases Brief Rep. 2023 Jul 1;17(4):406-409. doi: 10.1097/ICB.0000000000001206.
2
Scleral thickness in normal Indian eyes measured using spectral domain anterior segment optical coherence tomography.应用谱域眼前节光学相干断层扫描仪测量正常印度人眼巩膜厚度。
Indian J Ophthalmol. 2023 May;71(5):1833-1836. doi: 10.4103/ijo.IJO_2046_22.
3
Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome.
葡萄膜渗漏综合征算法治疗的临床表现和治疗效果。
Indian J Ophthalmol. 2022 Dec;70(12):4349-4356. doi: 10.4103/ijo.IJO_1221_22.
4
Bilateral secondary angle-closure glaucoma and ciliochoroidal effusion as an initial manifestation of systemic lupus erythematosus.双侧继发性闭角型青光眼和睫状体脉络膜积液作为系统性红斑狼疮的初始表现
Indian J Ophthalmol. 2022 Jul;70(7):2659-2661. doi: 10.4103/ijo.IJO_299_22.
5
Anterior Lens Curvature Matters in the Course of Primary Angle Closure: An Analysis Based on Ultrasound Biomicroscopic Imaging.原发性闭角型青光眼病程中前房晶状体曲率的影响：基于超声生物显微镜成像的分析
J Ophthalmol. 2022 Jan 29;2022:5570633. doi: 10.1155/2022/5570633. eCollection 2022.
6
Implications of SS-OCT-anterior scleral thickness biometry on the definition of nanophthtalmos.频域光学相干断层扫描测量前巩膜厚度对小眼球定义的影响
Clin Exp Optom. 2022 May;105(4):452. doi: 10.1080/08164622.2021.1965462. Epub 2021 Oct 17.
7
Optical Coherence Tomography and Glaucoma.光学相干断层扫描与青光眼。
Annu Rev Vis Sci. 2021 Sep 15;7:693-726. doi: 10.1146/annurev-vision-100419-111350. Epub 2021 Jul 9.
8
Nanophthalmos: An Update on the Biological Parameters and Fundus Abnormalities.小眼球症：生物学参数与眼底异常的最新进展
J Ophthalmol. 2021 Mar 11;2021:8853811. doi: 10.1155/2021/8853811. eCollection 2021.
9
Multimodal imaging to aid in diagnosis of uveal effusion syndrome type 3.多模态成像辅助诊断3型葡萄膜渗漏综合征。
BMJ Case Rep. 2021 Mar 2;14(3):e239556. doi: 10.1136/bcr-2020-239556.
10
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Indian J Ophthalmol. 2021 Feb;69(2):279-285. doi: 10.4103/ijo.IJO_956_20.