无并发症白内障手术后的失明。

Jennifer Larson, Madeline Arzbecker
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引用次数: 0

摘要

导言:在本报告中,我们描述了一例无并发症白内障手术后的异视。临床医生在评估异视患者时应考虑术后机械性瞳孔和强直性瞳孔:一名 69 岁的白人女性接受了左眼无并发症白内障手术。术中没有使用扩瞳装置,也没有发生虹膜松动或虹膜脱垂。术后发现她有异视。药理瞳孔测试证实左侧瞳孔为强直性机械性瞳孔:讨论:目前还没有关于白内障手术后瞳孔强直导致视物不清的报道。根据其他眼科手术后瞳孔强直的报道,我们的病例很可能是副交感神经功能障碍和机械性创伤共同作用的结果:据我们所知,这是第一例关于白内障手术后瞳孔强直的报告,从而扩大了临床上可能未被充分认识的异视原因的文献范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anisocoria Following Uncomplicated Cataract Surgery.

Introduction: In this report, we describe a case of anisocoria following uncomplicated cataract surgery. Clinicians should consider postoperative mechanical and tonic pupils when evaluating patients with anisocoria.

Case presentation: A 69-year-old White female underwent uncomplicated cataract surgery of her left eye. No intraoperative pupil expansion devices were used, and no floppy iris or iris prolapse occurred during the surgery. Postoperatively, she was found to have anisocoria. Pharmacologic pupillary testing confirmed a tonic and mechanical left pupil.

Discussion: There have been no reported causes of anisocoria from a tonic pupil after cataract surgery. Based on reports of tonic pupils following other eye surgeries, our case likely occurred from a combination of parasympathetic dysfunction and mechanical trauma.

Conclusions: To our knowledge, this is the first report of a tonic pupil following cataract surgery, thus expanding the literature of causes of anisocoria that may be underrecognized in the clinical setting.

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