Mesh : Humans Male Adolescent Ocular Hypotension / etiology diagnosis Strabismus / surgery etiology Oculomotor Muscles / surgery Glucocorticoids / therapeutic use Postoperative Complications / diagnosis etiology Ophthalmologic Surgical Procedures / adverse effects Microscopy, Acoustic Intraocular Pressure / physiology Ciliary Body / surgery Retinal Diseases / etiology diagnosis Atropine / therapeutic use administration & dosage Drug Therapy, Combination

来  源:   DOI:10.1016/j.jaapos.2024.103939

Abstract:
Hypotony is a rare postoperative complication of strabismus surgery. Resolution has been reported to occur within 1 month of surgery. Here, we describe the case of a 14-year-old boy with prolonged hypotony maculopathy following uneventful bilateral medial rectus recession. The hypotony resolved without long-term sequela after 7 months of treatment with topical steroids and atropine. Ultrasound biomicroscopy revealed a ciliary body effusion, which we hypothesize was the cause of decreased aqueous humor production and hypotony.
摘要:
低眼压是斜视手术后罕见的并发症。据报道,消退发生在手术后1个月内。这里,我们描述了一个14岁男孩在双侧内侧直肌衰退后出现长期低眼压黄斑病变的病例。局部类固醇和阿托品治疗7个月后,低眼压缓解,没有长期后遗症。超声生物显微镜检查显示睫状体积液,我们假设是房水产生减少和低眼压的原因。
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