Successful Treatment of Hemi-Retinal Vein Occlusion with Macular Edema following Spinal Surgery Using Intravitreal Aflibercept and Retinal Photocoagulation: A Case Report.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI:10.1159/000539343

Shunji Nakatake, Yoshiki Sato, Maho Itotani, Kenichi Kimoto, Toshiaki Kubota, Atsunobu Takeda

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引用次数: 0

Abstract

Introduction: Perioperative visual loss (POVL) owing to hemi-retinal vein occlusion (HRVO) following prone positioning during spinal surgery is rare. Here, we report a case of HRVO with macular edema (ME) after spinal surgery that was successfully treated with intravitreal aflibercept (IVA) injections and retinal photocoagulation (RP).

Case presentation: A 63-year-old Japanese man underwent spinal surgery for lumbar spinal canal stenosis. Surgery was performed with the patient in the prone position under general anesthesia; the operation time was 305 min. No complications were associated with intraoperative anesthesia. On postoperative day 4, the patient noticed decreased visual acuity in his left eye and visited the Department of Ophthalmology on postoperative day 9. The best-corrected visual acuity (BCVA) in the left eye was 0.1. Fundus and optical coherence tomography revealed HRVO and ME in the left eye. IVA injections and RP were performed in the eye, which substantially decreased the ME and improved the patient's BCVA to 0.8.

Conclusions: HRVO can cause POVL after prone positioning during spinal surgery. This is the first case of HRVO with ME after spinal surgery, which was successfully treated with IVA injections and RP.

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使用玻璃体内 Aflibercept 和视网膜光凝成功治疗脊柱手术后伴有黄斑水肿的半视网膜静脉闭塞：病例报告。

导言：脊柱手术中俯卧位后因半视网膜静脉闭塞（HRVO）导致的围手术期视力下降（POVL）非常罕见。在此，我们报告了一例脊柱手术后伴有黄斑水肿（ME）的HRVO病例，该病例通过玻璃体内阿弗利百普（IVA）注射和视网膜光凝（RP）治疗获得成功：一名 63 岁的日本男子因腰椎管狭窄接受了脊柱手术。手术在患者俯卧位全身麻醉下进行，手术时间为 305 分钟。术中麻醉未出现任何并发症。术后第 4 天，患者发现左眼视力下降，并于术后第 9 天前往眼科就诊。左眼的最佳矫正视力（BCVA）为 0.1。眼底和光学相干断层扫描显示左眼存在 HRVO 和 ME。对该眼进行了 IVA 注射和 RP 治疗，大大降低了 ME 的程度，并将患者的 BCVA 提高到了 0.8：结论：脊柱手术中俯卧位后，HRVO可导致POVL。这是首例脊柱手术后伴有ME的HRVO病例，通过IVA注射和RP治疗获得了成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.