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内源性真菌性眼内炎后睫状体锯齿缘裂孔导致的视网膜脱离

Retinal detachment due to breaks in pars plicata of ciliary body after endogenous fungal endophthalmitis.

作者信息

Sasoh M, Uji Y, Arima M, Sawada T, Doi M, Fukui R

机构信息

Department of Ophthalmology, Mie University School of Medicine, Japan.

出版信息

Jpn J Ophthalmol. 1993;37(1):93-9.

PMID:8320872
Abstract

An eye with retinal detachment due to breaks in the nonpigmented epithelium in the pars plicata of the ciliary body was reported in a patient who had been infected by endogenous Candida endophthalmitis about 3 years previously. He had no history of ocular trauma or atopic dermatitis, and had undergone extracapsular cataract extraction because of secondary cataract following the endophthalmitis. Three months later, the breaks were detected in his right eye, distributed extensively between the 3:30 and 11:45 o'clock meridians in the pars plicata. The posterior edges of these breaks were pulled to the contracted posterior capsule by zonular fibers. Posterior capsulectomy, vitrectomy, encircling and scleral buckling were performed and resulted in the reattachment of the retina. It was suggested that the ciliary body which had been damaged by endophthalmitis played a role in the development of these breaks.

摘要

据报道,一名患者约3年前感染了内源性念珠菌性眼内炎,其睫状体皱襞部无色素上皮破裂导致视网膜脱离。他没有眼外伤或特应性皮炎病史,因眼内炎后继发性白内障接受了白内障囊外摘除术。三个月后,在他的右眼检测到破裂,广泛分布于睫状体皱襞部3:30至11:45子午线之间。这些破裂的后缘被悬韧带纤维牵拉至收缩的后囊。进行了后囊切开术、玻璃体切除术、环扎术和巩膜扣带术,视网膜得以重新附着。提示眼内炎损伤的睫状体在这些破裂的发生中起了作用。

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