■地塞米松(DEX)植入物是FDA批准的糖尿病性黄斑水肿的治疗方法,非感染性后葡萄膜炎,和黄斑水肿继发于分支或中央视网膜静脉阻塞。我们描述了患有先天性青光眼病史的患者的DEX植入物前房(AC)迁移的情况,并对这种特殊并发症的文献进行了回顾。总结常见的风险因素,随后的并发症,和管理选项。
■一名46岁女性,有先天性青光眼病史,白内障摘除后插入人工晶状体,平坦部玻璃体切除术,左眼Baerveldt管植入物因术后黄斑囊样水肿(CME)而转诊。患者接受了DEX植入物的插入,从而改善了她的CME。注射第四个植入物后,病人在做跳跃千斤顶后照镜子时,注意到眼睛里有一条白线。裂隙灯检查确认植入物迁移到AC中。最终,病人被送到手术室,她的植入物是通过前路双向玻璃体切除术切除的。
■本病例报告和文献综述探讨了先天性青光眼特有的眼科结构改变,这种改变可能使这只眼睛发生DEX植入物的前移。这篇综述的目的是详细介绍可能会增加先天性青光眼患者前房植入物迁移风险的解剖变化,以便医生在选择患者进行这种植入物时可以意识到这些风险。
UNASSIGNED: The dexamethasone (DEX) implant is an FDA approved treatment for diabetic macular edema, non-infectious posterior uveitis, and macular edema secondary to branch or central retinal vein occlusions. We describe a
case of anterior chamber (AC) migration of a DEX implant in a patient with a history of congenital glaucoma and perform a review of the literature on this particular complication, summarizing the common risk factors, subsequent complications, and management options.
UNASSIGNED: A 46-year-old female with a history of congenital glaucoma, status post cataract extraction with insertion of intraocular lens, pars plana vitrectomy, and Baerveldt tube implant in the left eye was referred for post-operative cystoid macular edema (CME). The patient underwent insertion of a DEX implant, resulting in improvement in her CME. After the fourth implant was injected, the patient noticed a white line in her eye while looking in the mirror after doing jumping jacks. Slit lamp examination confirmed migration of the implant into the AC. Ultimately, the patient was taken to the operating room, where her implant was removed via bimanual vitrectomy through an anterior approach.
UNASSIGNED: This
case report and literature review explores the ophthalmic structural changes specific to congenital glaucoma which may have predisposed this eye to anterior migration of the DEX implant. The purpose of this review is to detail the anatomic changes that may increase the risk of anterior chamber implant migration in patients with congenital glaucoma so that physicians may be aware of these risks when selecting patients for this implant.