• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of glaucoma >Severe Intraocular Pressure Elevation After Intracameral Healon 5 Viscoelastic Support for Postoperative Hypotony After XEN Gel Stent Insertion
【24h】

Severe Intraocular Pressure Elevation After Intracameral Healon 5 Viscoelastic Support for Postoperative Hypotony After XEN Gel Stent Insertion

机译：颈骨颈骨颈骨颈5后的严重眼压升高，Xen凝胶支架插入后的术后低步骤后粘弹性载体

获取原文
获取原文并翻译 | 示例
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose:The purpose of this article was to describe (i) a novel case of severe intraocular pressure (IOP) elevation due to intracameral Healon 5 for management of early postoperative (post-op) hypotony following XEN Gel Stent insertion and (ii) the management of this complication.Materials and Methods:A case report.Results:A 52-year-old man, with primary open-angle glaucoma and suboptimal left IOP control on maximally tolerated medical therapy, was managed with XEN Gel Stent insertion at another tertiary eye unit. Post-op, the IOP was 2mmHg with a shallow anterior chamber (AC) and choroidal effusions. Intracameral injections of Provisc on post-op days 1 and 3 failed to reverse hypotony. At 1 week post-op, persistent clinically significant hypotony was managed with Healon 5 injection into the AC. Twelve hours later, the patient experienced significant pain and reduced vision and presented to a different tertiary eye unit, where left visual acuity was hand movements, IOP was 70mmHg with a deep AC (complete ophthalmic viscosurgical device fill with Healon 5) and a flat drainage bleb with no external drainage. Emergency AC washout of the Healon 5 was performed with resolution of symptoms, visual acuity, and IOP control.Conclusions:We caution against the use of intracameral Healon 5 in the management of post-op hypotony following XEN Gel Stent insertion, given the potential risk for extreme IOP elevation and sight loss.
机译：目的：本文的目的是描述（i）由于肠凝胶支架插入后术后早期（后op）低渗的治疗术治疗（IOP）的颈静脉升高的一种新型案例。对此并发症的管理。材料和方法：案例报告。结果：一个52岁的人，具有最大耐受性医学治疗的主要开放角青光眼和次优左侧IOP控制，并在另一个第三级插入Xen Gel支架进行管理。眼单元。后OOP，IOP为2mmHg，具有浅腔室（AC）和脉络膜效果。在OP第1天和3后的普通型普罗旺尼亚型注射未能逆转低声。在OP后1周，持续临床显着的低步骤用Healon 5注入AC。 12小时后，患者经历了显着的疼痛和减少视力，并呈现给不同的三级眼部单元，其中左视力是手动运动，IOP是70mmHg，具有深度AC（完整的眼科吸管器填充Healon 5）和扁平排水BLEB没有外部排水。患有症状，视力和IOP控制的急救AC冲洗术治疗症状5进行。结论：考虑到潜在风险对于极端的IOP高度和视力损失。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号