Cystoid macular oedema: a rare complication following selective laser trabeculoplasty.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
James Richardson-May, William Evans, Shweta Pandey, Karinya Lewis
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引用次数: 0

Abstract

A female patient with previous vitrectomy for epiretinal membrane in the left eye underwent bilateral selective laser trabeculoplasty (SLT) for pigmentary glaucoma and subsequently developed cystoid macular oedema (CMO) in the vitrectomised eye. This resolved fully with treatment with topical steroids and non-steroidal anti-inflammatory drug (NSAID) drops. This complication has been very rarely reported in the literature, and a subsequent internal audit found a very low rate of CMO temporally related to SLT of 0.07%. We suggest close follow-up and 'red flag' follow-up instructions to patients with previous vitrectomy or epiretinal membrane to watch for this complication, and clinicians may consider covering higher risk patients with an NSAID post-laser.

囊样黄斑水肿:选择性激光小梁成形术后的罕见并发症。
一名曾因左眼视网膜外膜而接受过玻璃体切除术的女性患者,因色素性青光眼而接受了双侧选择性激光小梁成形术(SLT),随后,接受玻璃体切除术的眼睛出现了囊样黄斑水肿(CMO)。经外用类固醇和非甾体抗炎药(NSAID)滴眼液治疗后,水肿完全消退。这种并发症在文献中鲜有报道,随后的内部审计发现,与SLT相关的CMO发生率非常低,仅为0.07%。我们建议对既往接受过玻璃体切除术或存在视网膜外膜的患者进行密切随访,并发出 "红旗 "随访指示,以警惕这种并发症的发生,临床医生可考虑在激光术后对高风险患者使用非甾体抗炎药。
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
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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