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首页> 外文期刊>Middle East African Journal of Ophthalmology >Neodymium: Yttrium-Aluminum-Garnet Laser Anterior Hyaloidotomy to Treat Trapped Triamcinolone Acetonide Behind the Crystalline Lens After Intravitreal Injection
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Neodymium: Yttrium-Aluminum-Garnet Laser Anterior Hyaloidotomy to Treat Trapped Triamcinolone Acetonide Behind the Crystalline Lens After Intravitreal Injection

机译：钕：钇铝石榴石激光前玻璃体切开术治疗玻璃体腔注射后晶状体背后被困的曲安西龙酮

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摘要

A 65-year-old male underwent intravitreal triamcinolone acetonide (IVTA) injection for treating a clinically significant macular edema (CSME) due to background diabetic retinopathy in his left eye. On the first postoperative day, visual acuity dropped from 20/80 to hand movements. Slit-lamp examination showed the drug between the posterior capsule of the lens and the anterior hyaloid face. Two weeks later, visual acuity and the milky fluid seemed unchanged. Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser anterior hyaloidotomy was performed. One week later, slit-lamp examination of the retrolental space revealed the complete disappearance of triamcinolone and intraocular pressure remained stable. After a follow-up period of 2 months, visual acuity increased to 20/50 with the lens remaining clear. Nd:YAG laser anterior hyaloidotomy is an effective, simple, useful and minimally invasive outpatient procedure in patients with persistent entrapment of triamcinolone behind the crystalline lens, allowing the drug to clear without trauma to the lens.Keywords: Adverse Effects Intravitreal Injections, Anterior Hyaloidotomy, Diabetic Macular Edema, Neodymium:Yttrium-Aluminum-Garnet Laser, Triamcinolone
机译：一名65岁的男性接受玻璃体内注射曲安奈德（IVTA）注射，以治疗左眼本底糖尿病性视网膜病变引起的临床上显着的黄斑水肿（CSME）。术后的第一天，视力从20/80下降到手部运动。裂隙灯检查显示药物在晶状体后囊和前玻璃样脸之间。两周后，视力和乳状液似乎未变。进行钕：钇铝石榴石（Nd：YAG）激光前玻璃体切开术。一周后，裂隙灯检查后房间隙显示曲安西龙完全消失，眼压保持稳定。经过2个月的随访，视力提高到20/50，晶状体保持透明。 Nd：YAG激光前玻璃体切开术对于曲安西龙持续滞留在晶状体后的患者而言是一种有效，简单，有用且微创的门诊手术方法，可以使药物清除而不会损伤晶状体。 ，糖尿病性黄斑水肿，钕：钇铝石榴石激光，曲安奈德

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