纤维发育不良患者同侧预防性经颅视神经管减压术后出现单侧失明。
Unilateral blindness after ipsilateral prophylactic transcranial optic canal decompression for fibrous dysplasia.
作者信息
Edelstein C, Goldberg R A, Rubino G
机构信息
Division of Orbital and Ophthalmic Plastic Surgery, UCLA School of Medicine, USA.
出版信息
Am J Ophthalmol. 1998 Sep;126(3):469-71. doi: 10.1016/s0002-9394(98)00118-4.
PURPOSE
To report a case of unilateral blindness after ipsilateral prophylactic transcranial optic canal decompression for fibrous dysplasia.
METHODS
Case report. A 37-year-old woman with fibrous dysplasia underwent a prophylactic left optic canal decompression. Preoperatively, the left eye had a visual acuity of 20/20.
RESULTS
Four days after apparently uncomplicated left optic canal decompression, the left eye lost all light perception. Blindness in the left eye persisted despite surgical exploration and transcranial optic nerve sheath fenestration.
CONCLUSION
Although prophylactic optic canal decompression warrants consideration in selected patients with fibrous dysplasia, notable risks are associated with this surgery.
目的
报告一例因纤维发育不良行同侧预防性经颅视神经管减压术后出现单侧失明的病例。
方法
病例报告。一名37岁患有纤维发育不良的女性接受了预防性左侧视神经管减压术。术前，左眼视力为20/20。
结果
在看似顺利的左侧视神经管减压术后四天，左眼失去了所有光感。尽管进行了手术探查和经颅视神经鞘开窗术，左眼失明仍持续存在。
结论
尽管对于某些纤维发育不良患者，预防性视神经管减压术值得考虑，但该手术存在显著风险。
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