Geyer O, Neudorfer M, Lazar M
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Ann Ophthalmol. 1993 May;25(5):170-2.
We report a traction retinal detachment that developed within one month of transscleral neodymium: yttrium aluminum garnet (Nd:YAG) laser cyclophotocoagulation, a previously unreported complication of the new cyclodestructive procedure. A 17-year-old boy was referred to our department with uncontrolled aphakic glaucoma OD after having undergone cyclocryotherapy twice. Three treatments with transscleral Nd:YAG cyclophotocoagulation were done over nine months to lower his intraocular pressure. Hypotony and traction retinal detachment occurred after the third laser treatment and was managed successfully by vitrectomy with a fluid-gas exchange. Thus, the possibility of this additional complication should be remembered when doing transscleral Nd:YAG cyclophotocoagulation.
我们报告了1例在经巩膜钕：钇铝石榴石（Nd:YAG）激光睫状体光凝术后1个月内发生的牵引性视网膜脱离，这是这种新型睫状体破坏手术之前未报道过的并发症。一名17岁男孩在接受了两次睫状体冷凝术后因右眼无晶状体性青光眼控制不佳转诊至我科。在9个月内进行了3次经巩膜Nd:YAG睫状体光凝治疗以降低其眼压。第三次激光治疗后发生了低眼压和牵引性视网膜脱离，并通过玻璃体切除联合液-气交换成功治疗。因此，在进行经巩膜Nd:YAG睫状体光凝时应牢记这种额外并发症的可能性。
