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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.

DOI:10.1016/j.ajoc.2025.102318
PMID:40958993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12434501/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/a2dc5f0ab45d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/ba1dfa37a7e0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/f3f237d3f058/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/a2dc5f0ab45d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/ba1dfa37a7e0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/f3f237d3f058/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/12434501/a2dc5f0ab45d/gr3.jpg

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Cystoid macular edema secondary to latanoprostene bunod.比马前列素贝诺酯所致的黄斑囊样水肿
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Cystoid macular edema related to cataract surgery and topical prostaglandin analogs: Mechanism, diagnosis, and management.与白内障手术和局部前列腺素类似物相关的囊样黄斑水肿：发病机制、诊断和治疗。
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Safety and Efficacy of YAG Laser Vitreolysis for the Treatment of Vitreous Floaters: An Overview.YAG 激光玻璃体液化治疗飞蚊症的安全性和疗效：综述。
Adv Ther. 2020 Apr;37(4):1319-1327. doi: 10.1007/s12325-020-01261-w. Epub 2020 Feb 21.
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Cystoid macular edema with prostaglandin analogue use after uneventful cataract surgery in glaucoma patients.青光眼患者在白内障手术后无并发症使用前列腺素类似物后出现囊样黄斑水肿。
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Reported Complications Following Laser Vitreolysis.激光玻璃体溶解术后报告的并发症。
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YAG Laser Vitreolysis vs Sham YAG Vitreolysis for Symptomatic Vitreous Floaters: A Randomized Clinical Trial.YAG激光玻璃体溶解术与假性YAG玻璃体溶解术治疗有症状玻璃体混浊的随机临床试验
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