Diagnostic and Therapeutic Challenges
Diagnostic and Therapeutic Challenges
复制标题
诊断和治疗挑战
DOI：
10.1097/iae.0000000000002401
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
I. Leiderman Yannek
中科院分区：
文献类型：
--
作者：
Yang Kaibo;Kang Dedong;Chen Lei;Ning Hong;Hu Yuedong;I. Leiderman Yannek
我们报告一位53岁的女性，患有白内障、牵引性视网膜脱离合并鼻弓处全层视网膜裂孔及玻璃体出血。右眼视敏度为手部运动（HM）。我们施行常规20 G玻璃体切除术和超声乳化白内障吸除术，硅油填充，未植入人工透镜。这些眼睛在手术前5天接受了雷珠单抗玻璃体内注射。术后第一天，我们发现硅油中混合了大量气泡。眼底模糊，伴有轻度前房炎症反应和少量前房出血（图1，A和B）。4天后小泡消失，眼底可见（图1C）。6周后因硅油乳化和复发性鼻侧视网膜脱离更换硅油。眼底和新硅油稳定，直至6个月随访（图1D）。硅油中存在无数小“气泡”的现象在随后使用的同一批次硅油中未发生。
We present a 53-year-old woman with cataract, traction retinal detachment in association with full-thickness retinal holes at the nasal arcades, and vitreous hemorrhage. Visual acuity was hand movement (HM) in the right eye. We performed a routine 20G vitrectomy and phacoemulsification with silicone oil tamponade, without intraocular lens implantation. These eyes had been given a ranibizumab intravitreal injection 5 days before surgery. On the first day after surgery, we found there were a multitude of bubbles mixed with the silicone oil. The fundus was blurred with a light anterior chamber inflammatory reaction and a small amount of hyphema (Figure 1, A and B). The small vesicles faded away 4 days later, and the fundus becomes visible (Figure 1C). The silicone oil was replaced 6 weeks later because of silicone oil emulsion and recurrent nasal retinal detachment. The fundus and the new silicone oil were stable until the 6-month follow-up (Figure 1D). This phenomenon of innumerable small “bubbles” in the silicone oil did not occur with the same batch of silicone oil used at a later time.