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激光睫状体光凝术后交感性眼炎

Sympathetic ophthalmia following laser cyclocoagulation.

作者信息

Bechrakis N E, Müller-Stolzenburg N W, Helbig H, Foerster M H

机构信息

Department of Ophthalmology, Klinikum Steglitz, Free University of Berlin, Germany.

出版信息

Arch Ophthalmol. 1994 Jan;112(1):80-4. doi: 10.1001/archopht.1994.01090130090024.

DOI:10.1001/archopht.1994.01090130090024
PMID:8285899
Abstract

We describe a 49-year-old white man with sympathetic ophthalmia following contact neodymium-YAG laser cyclotherapy. There was no invasive surgery, and no perforating injuries preceded cyclodestructive therapy. The eye had hemorrhagic secondary glaucoma due to Coats' disease. It was treated three times with contact cyclophotocoagulation after cyclocryotherapy failed to lower intraocular pressure. Subsequently, the intraocular pressure slowly decreased and the eye became phthisical 15 months after the last surgery. Intraocular inflammation developed in the fellow eye and sympathetic ophthalmia was suspected. Histologic and immunohistologic study of the enucleated blind eye confirmed this diagnosis.

摘要

我们描述了一名49岁的白人男性,在接受接触式钕钇铝石榴石激光睫状体光凝术后发生交感性眼炎。在进行睫状体破坏治疗之前,没有进行侵入性手术,也没有穿孔伤。该眼因科茨病患有出血性继发性青光眼。在睫状体冷冻疗法未能降低眼压后,进行了三次接触式睫状体光凝治疗。随后,眼压缓慢下降,在最后一次手术后15个月,该眼变成眼球痨。对侧眼出现眼内炎症,怀疑为交感性眼炎。对摘除的盲眼进行组织学和免疫组织学研究证实了这一诊断。

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