钕钇铝石榴石激光虹膜切开术后晶状体穿孔玫瑰花结
Perforation rosette of the lens after Nd:YAG laser iridotomy.
作者信息
Wollensak G, Eberwein P, Funk J
机构信息
Department of Ophthalmology, University of Freiburg i Br, Germany.
出版信息
Am J Ophthalmol. 1997 Apr;123(4):555-7. doi: 10.1016/s0002-9394(14)70187-4.
PURPOSE
To describe an unreported complication of Nd:YAG laser iridotomy.
METHODS
We examined a 31-year-old patient with pigment dispersion syndrome and moderately increased intraocular pressure whose left eye had been treated prophylactically with Nd:YAG laser iridotomy and who complained of blurred vision thereafter.
RESULTS
Slit-lamp examination of the left eye disclosed a typical perforation rosette of the posterior pole of the crystalline lens with a perforation of the anterior lens capsule under the iridotomy site and pigment within the lens. Opacity regressed spontaneously, and vision returned to normal.
CONCLUSIONS
A perforation rosette of the lens can occur after Nd:YAG laser iridotomy and should be considered a possible serious complication of the procedure.
目的
描述一种未被报道的钕：钇铝石榴石激光虹膜切开术并发症。
方法
我们检查了一名31岁患有色素性分散综合征且眼压中度升高的患者，其左眼曾接受预防性钕：钇铝石榴石激光虹膜切开术治疗，术后患者抱怨视力模糊。
结果
左眼裂隙灯检查发现晶状体后极有典型的穿孔玫瑰花结，虹膜切开术部位下方的晶状体前囊膜穿孔，晶状体内部有色素沉着。混浊自发消退，视力恢复正常。
结论
钕：钇铝石榴石激光虹膜切开术后可发生晶状体穿孔玫瑰花结，应将其视为该手术可能的严重并发症。
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