Cilioretinal artery occlusion after cataract and macular hole surgery: A case report.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY European Journal of Ophthalmology Pub Date : 2024-10-22 DOI:10.1177/11206721241290268

Sinan Bilgin, Suzan Doğruya

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引用次数: 0

Abstract

Purpose: To report cilioretinal artery occlusion in a patient undergoing cataract and macular hole surgery.

Material and method: A 78-year-old male patient was operated on for a left eye cataract and tractional macular hole. The patient had no intraoperative problems and developed sudden visual loss on the 15th postoperative day. Optic coherence tomography (OCT), fundus fluorescein angiography (FFA), and optic coherence tomography angiography (OCTA) images revealed occlusion of the cilioretinal artery. After medical treatment and 20 sessions of hyperbaric oxygen therapy, the best visual acuity was 50 cmFC, the optic nerve was pale, the macula was ischemic, and the central macular thickness was 139 microns at the last eye examination.

Discussion: Mitigating the risk of cilioretinal artery occlusion after vitreoretinal surgery requires a comprehensive approach that addresses patient-specific factors, surgical techniques, and perioperative management.

Conclusion: Occlusion of the cilioretinal artery may rarely occur after cataract and macular hole surgery. Careful follow-up, early diagnosis, and prompt intervention can minimize visual loss.

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白内障和黄斑孔手术后睫状体视网膜动脉闭塞：病例报告。

目的：报告一名接受白内障和黄斑孔手术患者的睫状体视网膜动脉闭塞情况：一名 78 岁的男性患者接受了左眼白内障和牵引性黄斑孔手术。患者术中无任何问题，术后第 15 天突然出现视力下降。光学相干断层扫描（OCT）、眼底荧光素血管造影（FFA）和光学相干断层扫描血管造影（OCTA）图像显示睫状体视网膜动脉闭塞。经过药物治疗和 20 次高压氧治疗后，患者的最佳视力为 50 cmFC，视神经苍白，黄斑缺血，最后一次眼部检查时黄斑中心厚度为 139 微米：讨论：降低玻璃体视网膜手术后纤网膜动脉闭塞的风险需要综合考虑患者的具体因素、手术技术和围手术期管理：结论：白内障和黄斑孔手术后可能很少发生睫状体视网膜动脉闭塞。仔细随访、早期诊断和及时干预可以最大限度地减少视力损失。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.