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双侧选择性激光小梁成形术后急性角膜水肿及残留上皮下混浊:病例系列

Acute corneal edema and residual subepithelial haze after bilateral selective laser trabeculoplasty: A case series.

作者信息

Nijs Jeffrey, Vandewalle Evelien, Stalmans Ingeborg, Lemmens Sophie

机构信息

Department of Ophthalmology, UZ Leuven, Belgium.

Department of Ophthalmology, AZ Diest, Diest, Belgium.

出版信息

Saudi J Ophthalmol. 2024 Dec 26;38(4):396-400. doi: 10.4103/sjopt.sjopt_152_24. eCollection 2024 Oct-Dec.

Abstract

The primary objective of this case series is to report three cases of acute corneal edema and subepithelial haze occurring shortly after bilateral selective laser trabeculoplasty (SLT). SLT was performed to treat open-angle glaucoma in three female, middle-aged patients who subsequently manifested stromal haze within 24-48 h following the procedure. The patients were, therefore, treated with topical steroids for several weeks. Due to uncontrolled intraocular pressure, one patient underwent a trabeculectomy. The corneal edema resolved in all three patients. However, they exhibited a hyperopic shift, along with alterations in corneal astigmatism. The incidence of corneal edema and subepithelial haze following SLT is an exceedingly rare phenomenon. While certain factors are hypothesized to contribute to this complication, the predisposing factors leading to corneal changes following this laser procedure remain unclear.

摘要

本病例系列的主要目的是报告三例双侧选择性激光小梁成形术(SLT)后不久发生的急性角膜水肿和上皮下混浊病例。对三名中年女性患者进行了SLT以治疗开角型青光眼,这些患者在手术后24 - 48小时内出现了基质混浊。因此,这些患者接受了数周的局部类固醇治疗。由于眼压控制不佳,一名患者接受了小梁切除术。所有三名患者的角膜水肿均已消退。然而,他们出现了远视移位以及角膜散光的改变。SLT后角膜水肿和上皮下混浊的发生率是一种极为罕见的现象。虽然推测某些因素会导致这种并发症,但导致该激光手术后角膜变化的易感因素仍不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cad/11811399/e40a4d2d6859/SJO-38-396-g001.jpg

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