闭角型青光眼致晶状体半脱位伴眶动静脉畸形。

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Rungroj Angwatcharaprakan, Eun Jung Lee, Keon Ha Kim, Kyung In Woo
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引用次数: 0

摘要

眶动静脉畸形(AVMs)是一种罕见的血管异常,通常进展缓慢。这个病例提出了一个不寻常的急性眼眶AVM引起闭角型青光眼在一个48岁的韩国男性。患者出现严重左眼疼痛、眼球突出和视力丧失2天。检查发现眼压升高与晶状体半脱位进入前房和眼外运动受限有关。影像学检查证实眶内AVM。采用缟玛瑙进行紧急血管内栓塞,随后行超声乳化术联合巩膜固定人工晶状体植入术。病情逐渐好转,斜视消失,眼压恢复正常。干预后6年长期随访,视力稳定,眼压正常,无AVM复发。这个病例强调了在急性单侧眼球突出合并闭角型青光眼中考虑眼眶avm的重要性。它强调了AVM和晶状体闭角的可能重合,以及早期诊断和干预的重要性,以获得最佳结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Angle-Closure Glaucoma due to Lens Subluxation Associated With Orbital Arteriovenous Malformation.

Orbital arteriovenous malformations (AVMs) are rare vascular anomalies that typically progress gradually. This case presents an unusual acute presentation of orbital AVM causing angle-closure glaucoma in a 48-year-old Korean male. He presented with severe left ocular pain, proptosis, and vision loss for 2 days. Examination revealed elevated intraocular pressure associated with crystalline lens subluxation into the anterior chamber and restricted extraocular movement. Imaging studies confirmed an intraorbital AVM. Urgent endovascular embolization using Onyx was performed, followed by phacoemulsification with scleral-fixated intraocular lens implantation. His condition gradually improved, with the resolution of strabismus and normalization of intraocular pressure. Long-term follow-up 6 years postintervention demonstrated stable visual acuity, normal intraocular pressure, and no AVM recurrence. This case underscores the importance of considering orbital AVMs in acute unilateral proptosis with angle-closure glaucoma. It emphasizes the possible coincidence of AVM and lens-induced angle closure and the importance of early diagnosis and intervention for optimal outcomes.

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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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