无缝线透明角膜切口白内障超声乳化术后抗生素眼药膏进入前房1例(英文)
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R779.66

基金项目:


Entry of antibiotic ointment into the anterior chamber following sutureless clear corneal incisions phacoemulsification:a case report
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:报告无缝线透明角膜切口白内障超声乳化术后抗生素眼药膏进入前房的病例1例。方法:患者,男,62岁,行透明角膜切口白内障超声乳化联合人工晶状体植入术,术中顺利。术毕使用抗生素类固醇眼药膏,术眼给予加压包扎。术后第1d,观察到一油滴状物漂浮于前房,紧急行手术清除前房内进入的眼药膏,未置换人工晶状体。结果:前房灌洗及清除油滴状物后,随访6mo,视力及眼压均保持稳定,前房结构稳定,无炎症反应。结论:眼药膏可通过不稳定的透明角膜切口进入前房。通过本病例应该认识到,白内障切口及其完整性非常重要,使用眼药膏后术眼给予加压包扎有一定的风险。

    Abstract:

    AIM:To report a case of entry of antibiotic ointment into the anterior chamber following sutureless clear corneal incisions phacoemulsification.·METHODS:A 62-year-old man had uneventful phaco-emulsification with clear corneal incisions with intraocular lens(IOL) implantation.Postoperative medication included antibiotic/steroid ointment;the eye was firmly patched at the end of the procedure.On the first postoperative day,the patient was seen an oily droplet floating in the anterior chamber.Immediate surgical removal of the ointment without IOL exchange was performed.RESULTS:During follow-up for six months after irrigation/aspiration of the anterior chamber and removal of the oily droplet,visual acuity and intraocular pressure(IOP) were unchanged and anterior segment was formed and quiet.CONCLUSION:Ophthalmic ointment may ingress into the anterior chamber through unstable clear corneal incisions.The case highlights the importance of appropriate wound construction and integrity,as well as the risk of tight eye patching following placement of ointment.

    参考文献
    相似文献
    引证文献
引用本文

郝胜利,刘志恒,高志国,等.无缝线透明角膜切口白内障超声乳化术后抗生素眼药膏进入前房1例(英文).国际眼科杂志, 2011,11(8):1318-1320.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2011-03-21
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期:
  • 出版日期: