[地塞米松玻璃体内植入物脱位进入前房并自发复位:病例报告]。

Q3 Medicine
L L Liang, S Ju, Z H Cui
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引用次数: 0

摘要

一名 61 岁的男性患者因右眼视力模糊就诊 1 天。患者曾在 10 年前接受过乳化手术和眼内人工晶体植入术,并因葡萄膜炎在眼内植入地塞米松。下角膜出现水肿,并伴有 Descemet 膜皱褶。下前房可见棒状地塞米松植入物。在不扩大瞳孔的情况下,要求患者保持仰卧姿势并避免头部后仰一天。植入物自发地移入玻璃体腔,导致角膜水肿减轻。这表明,玻璃体内植入物脱位进入前房可能是由局部眼球异常引起的,脱位的植入物有可能自行复位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Dislocation into the anterior chamber and spontaneous repositioning of a dexamethasone intravitreal implant: a case report].

A 61-year-old male patient presented with blurred vision in the right eye for 1 day. The patient had previously undergone phacoemulsification with intraocular lens implantation (10 years ago) and intravitreal implantation of dexamethasone (due to uveitis) in the eye. There was edema in the inferior cornea, along with Descemet membrane folds. The rod-shaped dexamethasone implant was visible in the inferior anterior chamber. Without pupil dilation, the patient was asked to keep a supine position and avoid head tilting for 1 day. The implant spontaneously relocated into the vitreous cavity, resulting in a reduction of corneal edema. This suggests that the dislocation of the intravitreal implant into the anterior chamber may be caused by a local zonular abnormality, and the dislocated implant has the potential to reposition itself spontaneously.

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来源期刊
中华眼科杂志
中华眼科杂志 Medicine-Ophthalmology
CiteScore
0.80
自引率
0.00%
发文量
12700
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