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巩膜扣带术后眼前段缺血:被遗忘的敌人。

Anterior segment ischemia following scleral buckle surgery: The forgotten enemy.

作者信息

Sreenivasan Janani, Joshi Aditi, Chawla Aashul

机构信息

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, College Road, Chennai, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2024 Oct 24;17(3):396-398. doi: 10.4103/ojo.ojo_34_24. eCollection 2024 Sep-Dec.

Abstract

Anterior segment ischemia (ASI) is a rare, almost forgotten complication of scleral buckle (SB) surgery. The course varies from mild self-limited to severe type causing significant vision loss. A number of local and systemic factors can precipitate ASI. It is important to be aware of these factors and take the necessary steps to avoid this complication. Despite that, if the patient develops ASI, early recognition is important. Mild cases are managed conservatively whereas severe cases will require removal of the band. We present a case of an 18-year-old male who developed a mild type of ASI post-SB surgery managed conservatively.

摘要

前段缺血(ASI)是巩膜扣带术(SB)一种罕见且几乎被遗忘的并发症。其病程差异很大,从轻度自限性到严重型,可导致严重视力丧失。许多局部和全身因素都可能引发ASI。了解这些因素并采取必要措施避免这种并发症很重要。尽管如此,如果患者发生了ASI,早期识别很重要。轻度病例采用保守治疗,而严重病例则需要拆除巩膜扣带。我们报告一例18岁男性患者,在巩膜扣带术后发生轻度ASI并接受保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/11620293/e57b4f106028/OJO-17-396-g001.jpg

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