钕钇铝石榴石激光玻璃体溶解术后的黄斑囊样水肿和青光眼
Cystoid macular edema and glaucoma following Nd:YAG laser vitreolysis.
作者信息
Allphin Mitchell T, Giangiacomo Annette, Kim Joon-Bom
机构信息
Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, USA.
出版信息
Am J Ophthalmol Case Rep. 2025 Mar 25;38:102318. doi: 10.1016/j.ajoc.2025.102318. eCollection 2025 Jun.
PURPOSE
This case report highlights cystoid macular edema (CME) as a complication of Nd:YAG laser vitreolysis.
OBSERVATIONS
Nd:YAG laser has become commonplace for capsulotomy, iridotomy, and selective laser trabeculoplasty, however there are limited studies on its use in vitreolysis for the disruption of symptomatic floaters. Here, we present a case of CME following Nd:YAG laser vitreolysis that was confirmed with fluorescein angiography.
CONCLUSIONS AND IMPORTANCE
CME is reported here as a complication of Nd:YAG vitreolysis. Further inquiry is needed to elucidate the true incidence of adverse events and the safety profile of the procedure. We hope to raise awareness for the treating physicians to investigate for CME if visual acuity is reduced following Nd:YAG laser vitreolysis.
目的
本病例报告强调了黄斑囊样水肿（CME）作为钕：钇铝石榴石（Nd：YAG）激光玻璃体溶解术并发症的情况。
观察结果
Nd：YAG激光已广泛应用于晶状体囊切开术、虹膜切开术和选择性激光小梁成形术，然而，关于其在玻璃体溶解术中用于破坏有症状飞蚊症的研究有限。在此，我们报告一例Nd：YAG激光玻璃体溶解术后发生CME的病例，该病例经荧光素血管造影证实。
结论与重要性
本文报道CME为Nd：YAG玻璃体溶解术的并发症。需要进一步研究以阐明不良事件的真实发生率和该手术的安全性。我们希望提高治疗医生的认识，如果Nd：YAG激光玻璃体溶解术后视力下降，应排查CME。
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