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因向鼻甲注射类固醇继发的失明。

Blindness secondary to steroid injections into the nasal turbinates.

作者信息

Byers B

出版信息

Arch Ophthalmol. 1979 Jan;97(1):79-80. doi: 10.1001/archopht.1979.01020010019004.

DOI:10.1001/archopht.1979.01020010019004
PMID:758896
Abstract

Two cases of inadvertent intra-arterial injection into the anterior turbinates for treatment of allergic rhinitis resulted in retrograde flow of methylprednisolone acetate in the ophthalmic artery. Both patients demonstrated embolization of the retinal circulation, and one of the choroidal circulation as well. Visual outcome was favorable, although one patient showed a permanent paracentral scotoma. Fundus photographs clearly showed intra-arterial obstruction of arterioles that cleared within several days. Precautions can be taken for the prevention of this complication.

摘要

两例在治疗变应性鼻炎时意外经动脉向前鼻甲内注射醋酸甲泼尼龙导致醋酸甲泼尼龙在眼动脉内逆流。两名患者均出现视网膜循环栓塞,其中一名患者还出现脉络膜循环栓塞。尽管有一名患者出现永久性旁中心暗点,但视觉预后良好。眼底照片清楚显示小动脉的动脉内阻塞在数天内消退。可以采取预防措施来防止这种并发症。

相似文献

1
Blindness secondary to steroid injections into the nasal turbinates.因向鼻甲注射类固醇继发的失明。
Arch Ophthalmol. 1979 Jan;97(1):79-80. doi: 10.1001/archopht.1979.01020010019004.
2
Retinal and choroidal microvascular embolization with methylprednisolone.
Retina. 2002 Jun;22(3):382-6. doi: 10.1097/00006982-200206000-00028.
3
Retinal and choroidal vascular occlusion secondary to corticosteroid embolisation.皮质类固醇栓塞继发视网膜和脉络膜血管阻塞。
Br J Ophthalmol. 1989 Jan;73(1):32-4. doi: 10.1136/bjo.73.1.32.
4
Bilateral retinal artery and choriocapillaris occlusion following the injection of long-acting corticosteroid suspensions in combination with other drugs: I. Clinical studies.
Ophthalmology. 1978 Sep;85(9):967-73. doi: 10.1016/s0161-6420(78)35594-9.
5
Corticosteroid injections of the nasal turbinates: past experience and precautions.鼻甲的皮质类固醇注射:既往经验与注意事项
Otolaryngology. 1978 Nov-Dec;86(6 Pt 1):ORL-851-7. doi: 10.1177/019459987808600603.
6
Blindness as a complication of subcutaneous nasal steroid injection.失明作为皮下注射鼻用类固醇的一种并发症。
Plast Reconstr Surg. 1999 Sep;104(4):1180-2; discussion 1183-4.
7
[Embolism of the central retinal artery following a retrobulbar injection of methylprednisolone acetate].球后注射醋酸甲基泼尼松龙后发生视网膜中央动脉栓塞
Bull Soc Belge Ophtalmol. 1970 Jun;155:517-23.
8
Retinal and choroidal vascular occlusion following intralesional corticosteroid injection of a chalazion.
Ophthalmology. 1986 Mar;93(3):405-7. doi: 10.1016/s0161-6420(86)33728-x.
9
Sudden blindness secondary to injections of common drugs in the head and neck: I. Clinical experiences.头颈部注射常见药物继发的突然失明:I. 临床经验
Otolaryngology. 1978 Jan-Feb;86(1):ORL-147-51.
10
Cutaneous corticosteroid injection and amaurosis. Analysis for cause and prevention.
Arch Dermatol. 1974 Nov;110(5):729-34.

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Severe retinal atrophy due to retinal and choroidal vascular occlusion following triamcinolone injection into the nasal mucosa.曲安奈德注射至鼻粘膜后因视网膜和脉络膜血管闭塞导致的严重视网膜萎缩。
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Acute obstruction of the retinal and choroidal circulation as a complication of interventional angiography.作为介入性血管造影并发症的视网膜和脉络膜循环急性阻塞。
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Retinal and choroidal vascular occlusion secondary to corticosteroid embolisation.皮质类固醇栓塞继发视网膜和脉络膜血管阻塞。
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