关键词: anterior chamber eye ophthalmology

Mesh : Female Humans Cataract Extraction / adverse effects Corneal Stroma Anterior Chamber Multimodal Imaging

来  源:   DOI:10.1136/bcr-2022-253299   PDF(Pubmed)

Abstract:
A woman in her 60s presented with diminution of vision and redness in her right eye (OD) 1.5 months duration, 10 months post cataract surgery. The best-corrected visual acuity (BCVA) on the OD was fingers counting at 0.5 m. The anterior section of the OD demonstrated superior pre-Descemet\'s intrastromal bleeding, superior dense fibrovascular growth in the corneal mid-stroma and superior fibrovascular downgrowth measuring 5×5 mm in the anterior chamber. Along with topical prednisolone acetate (1%) suspension 4 times per day on a tapering dose, antivascular endothelial growth factor therapy was administered intrastromally and subconjunctivally in the superior bulbar conjunctiva near limbus (0.05 mL of 2.5 mg/0.1 mL at each site). Over the course of a week, the intrastromal bleed had completely stopped. Three months later, at the final follow-up, the BCVA had marginally improved to fingers counting 2 m, with a lingering 4×4 mm nebulomacular scar.
摘要:
一名60多岁的女性出现视力下降和右眼发红(OD)1.5个月,白内障手术后10个月。OD上的最佳矫正视力(BCVA)是手指在0.5m处计数。OD的前部显示出前Descemet的基质内出血,角膜中基质的上致密纤维血管生长和前房中5×5mm的上纤维血管向下生长。随着局部醋酸泼尼松龙(1%)悬浮液每天4次逐渐减少的剂量,抗血管内皮生长因子治疗在靠近角膜缘的球结膜上皮内和结膜下给药(0.05mL,每次2.5mg/0.1mL).在一周的时间里,基质内出血已经完全停止.三个月后,在最后的后续行动中,BCVA略有改善,手指数到2米,挥之不去的4×4毫米的星状疤痕。
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