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PreserFlo Meets Morcher: Short-Term Outcome in Complex Post-Traumatic Eye with PKP and Aniridia Ring: A Case Report. PreserFlo与Morcher:创伤后复杂眼伴PKP和无虹膜环的短期疗效:1例报告。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-18 eCollection Date: 2025-01-01 DOI: 10.1159/000548728
Bar Klain, Noa Geffen, Alon Zahavi

Introduction: Glaucoma following corneal transplantation and artificial iris implantation represents a major therapeutic challenge, and data on optimal surgical management in such complex cases are scarce.

Case presentation: We report the case of a 28-year-old male with uncontrolled intraocular pressure (IOP) after penetrating keratoplasty and Morcher aniridia ring implantation. Despite maximally tolerated medical therapy, IOP remained elevated. PreserFlo MicroShunt implantation was performed successfully, leading to sustained IOP reduction without medications and preservation of graft clarity at 7-month follow-up.

Conclusion: To our knowledge, this is the first reported case of PreserFlo MicroShunt implantation in a patient with combined keratoplasty and Morcher aniridia rings. This case highlights the potential role of PreserFlo as a viable option for IOP control in complex post-traumatic and postsurgical eyes. However, the findings represent a short-term (7-month) outcome, and the long-term efficacy requires further evaluation.

角膜移植和人工虹膜植入术后青光眼是一个主要的治疗挑战,在这种复杂的病例中,关于最佳手术治疗的数据很少。病例介绍:我们报告一位28岁男性,在穿透性角膜移植和Morcher无虹膜环植入术后眼压失控。尽管能最大限度地耐受药物治疗,眼压仍然升高。PreserFlo MicroShunt植入成功,在7个月的随访中,在没有药物的情况下持续降低IOP,并保持移植物的透明度。结论:据我们所知,这是第一例报道的PreserFlo MicroShunt植入联合角膜移植术和Morcher无虹膜环的患者。本病例强调了PreserFlo作为复杂的创伤后和术后眼睛IOP控制的可行选择的潜在作用。然而,研究结果代表了短期(7个月)的结果,长期疗效需要进一步评估。
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引用次数: 0
Management of Recurrent Staphylococcus-Related Marginal Keratitis with Chlorhexidine-Vancomycin Combination: A 1-Year Follow-Up Case Report. 氯己泰-万古霉素联合治疗复发性葡萄球菌相关性角膜炎1年随访病例报告
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-18 eCollection Date: 2025-01-01 DOI: 10.1159/000549058
Shmuel Kagasov, Nir Gomel, Amit Biran, Asaf Friehmann, Michael Mimouni, Asaf Achiron

Introduction: Staphylococcus-related marginal keratitis is an inflammation of the corneal periphery characterized by the presence of stromal infiltrates and blepharoconjunctivitis. Conventional treatment consists of antibiotics and corticosteroid eye drops, and recurrence is prevalent upon treatment cessation. In this case report, we present a 1-year follow-up of the results of a novel therapeutic approach for recurrent marginal keratitis using a combination of chlorhexidine and vancomycin eye drops.

Case presentation: A 34-year-old male presented with an 8-year history of recurrent staphylococcus-related marginal keratitis in his right eye, consisting of 5 acute episodes, which under a conventional treatment regimen resolved within 10-14 days. During the follow-up of his right eye, an inflammation in his left eye developed as well. Treatment with a combination of chlorhexidine at 0.02% and vancomycin at 50 mg/mL eye drops brought rapid resolution of the acute inflammation with preservation of the effect for at least 1 year.

Conclusions: A combination of chlorhexidine and vancomycin eye drops may provide an effective treatment for marginal keratitis. It demonstrated rapid improvement and maintained long-term stability, with disease control observed throughout 1-year follow-up.

简介:葡萄球菌相关性边缘角膜炎是一种角膜周围的炎症,其特征是间质浸润和眼睑结膜炎。常规治疗包括抗生素和皮质类固醇眼药水,治疗停止后复发很普遍。在本病例报告中,我们提出了一项为期1年的随访结果,该结果是使用氯己定和万古霉素滴眼液联合治疗复发性边缘角膜炎的新方法。病例介绍:34岁男性,右眼复发性葡萄球菌相关性角膜炎8年,包括5次急性发作,在常规治疗方案下10-14天内消退。在对右眼的随访中,左眼也出现了炎症。0.02%氯己定和50mg /mL万古霉素滴眼液联合治疗,急性炎症迅速消退,效果保持至少1年。结论:氯己定联合万古霉素滴眼液可有效治疗边缘性角膜炎。它表现出快速改善并保持长期稳定,在1年的随访中观察到疾病控制。
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引用次数: 0
Shimmering Clarity: A Rare Case Report of Ocular Cystinosis. 晶莹剔透:1例罕见的眼胱氨酸病。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-16 eCollection Date: 2025-01-01 DOI: 10.1159/000548833
Aishwarya M Angadi, Kalibo Jakhalu, Iqra Mushtaq, Saujas Shah

Introduction: Ocular cystinosis is a rare hereditary lysosomal storage disorder characterized by amino acid cystine deposition in various tissues, prominently affecting the cornea and conjunctiva. While typically diagnosed in childhood, cases in adults may present atypically or as part of the nephropathic spectrum. This report highlights the clinical presentation, diagnosis, and management of ocular cystinosis in a 37-year-old male.

Case presentation: A 37-year-old male presented with complaints of photophobia and ocular discomfort for a duration of 6 months. On slit-lamp examination, characteristic crystalline deposits were observed in the corneal stroma. Additional findings included mild conjunctival injection. Visual acuity was 6/6 in both eyes. Anterior segment optical coherence tomography demonstrated hyperreflective deposits up to corneal stroma, while specular microscopy revealed a normal endothelial cell count and morphology. Systemic evaluation revealed no signs of cystinosis. The patient was treated with topical cysteamine ophthalmic solution 0.44%, resulting in subjective improvement in photophobia and stabilization of corneal findings over a 6-month follow-up period.

Conclusion: This case underscores the importance of recognizing ocular manifestations of cystinosis in adult patients, particularly those with no history or signs of systemic involvement. Early and sustained use of topical cysteamine ophthalmic solutions can significantly mitigate symptoms and prevent progression of corneal changes. Comprehensive management necessitates a multidisciplinary approach to address systemic and ocular sequelae of the disease.

眼胱氨酸病是一种罕见的遗传性溶酶体贮积性疾病,以氨基酸胱氨酸沉积在各组织中为特征,主要影响角膜和结膜。虽然通常在儿童期诊断,但成人病例可能呈现非典型或作为肾病谱的一部分。本文报告一位37岁男性眼胱氨酸病的临床表现、诊断和治疗。病例介绍:男性,37岁,自诉畏光、眼部不适6个月。在裂隙灯检查中,在角膜基质中观察到特征性的结晶沉积。其他发现包括轻度结膜注射。双眼视力均为6/6。前节段光学相干断层扫描显示高反射沉积到角膜基质,而镜面显微镜显示内皮细胞计数和形态正常。系统检查未发现胱氨酸病的迹象。患者局部使用0.44%半胱胺眼液治疗,在6个月的随访期间,畏光症状得到主观改善,角膜表现稳定。结论:本病例强调了识别成年胱氨酸病患者眼部表现的重要性,特别是那些没有病史或全身受累迹象的患者。早期和持续使用局部半胱胺眼用溶液可以显著减轻症状并防止角膜变化的进展。综合管理需要一个多学科的方法来解决系统性和眼部后遗症的疾病。
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引用次数: 0
When Erectile Dysfunction Therapy Clouds the Vision: ST-BRVO after Sildenafil in a Healthy Male. 当勃起功能障碍治疗蒙蔽视力:西地那非治疗后健康男性ST-BRVO。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-16 eCollection Date: 2025-01-01 DOI: 10.1159/000548573
Nilesh Giri, Deepaswi Bhavsar, Renu Magdum, Harshita Kashyap, Himani Yadav

Introduction: Sildenafil, a widely prescribed phosphodiesterase-5 (PDE5) inhibitor for erectile dysfunction, is generally well tolerated. However, ocular vascular complications - including non-arteritic anterior ischemic optic neuropathy, central serous chorioretinopathy, and retinal vein occlusion (RVO) - have been reported. Though rare, such events can occur even in individuals without conventional systemic risk factors.

Case presentation: A 55-year-old man with no prior medical history developed sudden, painless visual blurring in his right eye 48 h after ingesting a single 100 mg dose of sildenafil. Clinical evaluation revealed a superotemporal branch RVO with macular edema. A comprehensive systemic and hematologic workup, including thrombophilia screening and cardiac evaluation, yielded normal results. The patient was treated with an intravitreal injection of bevacizumab, leading to anatomical and visual improvement.

Conclusion: This case draws attention to a possible association between sildenafil use and retinal vascular events, particularly BRVO, even in healthy individuals. The temporal proximity and absence of systemic risk factors suggest a potential dose-independent vascular susceptibility. Clinicians should be aware of this rare but potentially vision-threatening complication.

西地那非是一种广泛用于治疗勃起功能障碍的磷酸二酯酶-5 (PDE5)抑制剂,通常耐受性良好。然而,眼部血管并发症——包括非动脉性前缺血性视神经病变、中枢性浆液性脉络膜视网膜病变和视网膜静脉闭塞(RVO)——已被报道。虽然罕见,但即使在没有常规系统性风险因素的个体中也可能发生此类事件。病例介绍:55岁男性,无既往病史,服用单剂量100 mg西地那非48小时后右眼突然出现无痛性视力模糊。临床评价显示颞上支RVO伴黄斑水肿。全面的全身和血液学检查,包括血栓筛查和心脏评估,结果正常。患者接受玻璃体内注射贝伐单抗治疗,导致解剖和视力改善。结论:该病例引起了人们对西地那非使用与视网膜血管事件,特别是BRVO之间可能存在关联的关注,即使在健康个体中也是如此。时间接近和缺乏系统性危险因素提示潜在的剂量无关的血管易感性。临床医生应该意识到这种罕见但潜在的视力威胁并发症。
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引用次数: 0
Macula-Involving Serous Choroidal Detachment following Multiple Short-Interval Trans-Tenon's Capsule Retrobulbar Anesthesia Injections during Vitreoretinal Surgery: A Case Report. 玻璃体视网膜手术中多次短间隔反腱囊球后麻醉注射后发生累及黄斑的浆液性脉络膜脱离1例。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-13 eCollection Date: 2025-01-01 DOI: 10.1159/000548928
Ayako Sadahide, Ayaka Kato, Chika Yokota, Hirokazu Sakaguchi

Introduction: Compared with sub-Tenon's anesthesia (STA), trans-Tenon's capsule retrobulbar anesthesia (TTRBA) provides rapid and complete akinesia. However, excessive anesthetic volume may cause complications such as choroidal detachment (CD).

Case presentation: A 59-year-old man who had previously undergone cataract surgery presented with rapidly progressive visual field constriction in the right eye. The best corrected visual acuity (BCVA) was 20/16; intraocular pressure, 13 mm Hg; and axial length, 29.99 mm. Multiple retinal breaks were detected in the superior and nasal retina, with retinal detachment extending from the superior to the inferior retina. Vitrectomy was performed under local anesthesia. STA (2.5 mL lidocaine) was followed by TTRBA (3.0 mL initially, plus an additional total of 4.5 mL administered in two injections) and 7.5 mg intravenous pentazocine. The cumulative TTRBA volume reached 7.5 mL within 50 min. Immediately after the final injection, an orange choroidal elevation developed across the entire retina, including the macula, without vascular whitening. BCVA recovered to 20/20 at 2 weeks postoperatively, with retinal reattachment.

Conclusion: This case suggests that repeated intraconal anesthetic injections totaling >7 mL in a short time may induce macula-involving serous CD via sustained intraorbital pressure elevation. Thus, limiting volume and considering lower volume alternatives may reduce risk.

简介:与sub-Tenon麻醉(STA)相比,trans-Tenon胶囊球后麻醉(TTRBA)提供快速和完全的运动。然而,过量的麻醉量可能导致并发症,如脉络膜脱离(CD)。病例介绍:一名59岁男性,曾接受白内障手术,表现为右眼快速进行性视野狭窄。最佳矫正视力(BCVA)为20/16;眼压,13 mm Hg;轴向长度:29.99 mm。在上视网膜和鼻视网膜发现多处视网膜断裂,视网膜脱离从上视网膜向下视网膜延伸。玻璃体切除术在局部麻醉下进行。STA (2.5 mL利多卡因)之后是TTRBA(最初3.0 mL,加上两次注射的额外总计4.5 mL)和7.5 mg戊唑嗪静脉注射。TTRBA的累积体积在50min内达到7.5 mL。在最后一次注射后,包括黄斑在内的整个视网膜出现橙色脉络膜升高,没有血管变白。术后2周BCVA恢复至20/20,视网膜再植。结论:本病例提示短时间内反复注射总剂量为7 mL的腔内麻醉可通过持续眶内压升高诱导累及黄斑的浆液性CD。因此,限制交易量并考虑低交易量的替代方案可能会降低风险。
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引用次数: 0
Spontaneous Separation of Epiretinal Membrane following Acute Posterior Vitreous Detachment Captured on OCT: A Case Report. 急性后玻璃体脱离后视网膜上膜自发分离1例。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-10-03 eCollection Date: 2025-01-01 DOI: 10.1159/000548674
Tuyet-Minh Tran, Ryan Duong, Michael Cusick

Introduction: This report describes a case of spontaneous epiretinal membrane (ERM) separation following an acute symptomatic posterior vitreous detachment (PVD) that was captured on imaging.

Case presentation: A 55-year-old female with a history of an ERM and chronic metamorphopsias in the right eye presented with 2 days of new flashes and floaters. Dilated fundus examination revealed an ERM unchanged from prior and a new Weiss ring. Optical coherence tomography (OCT) demonstrated a new detachment of the posterior hyaloid from the retina with a focal break in the ERM and an area of attachment between the posterior hyaloid and ERM. Six weeks later, OCT revealed complete ERM separation from the retina with restoration of foveal contour.

Conclusion: This case contributes to the existing literature on spontaneous ERM separation via PVD with the mechanism of separation uniquely demonstrated on OCT. Observation may be a reasonable approach for patients with mildly symptomatic ERM who have an attached posterior hyaloid on initial imaging.

简介:本报告描述了一个急性症状性玻璃体后脱离(PVD)后自发性视网膜前膜(ERM)分离的病例,该病例被成像捕获。病例介绍:55岁女性,有ERM病史,右眼慢性变形,2天内出现新的闪光和飞蚊症。眼底扩张检查显示ERM与先前相同,并有一个新的韦斯环。光学相干断层扫描(OCT)显示后透明体与视网膜的新脱离,在ERM中有一个局灶性断裂,后透明体与ERM之间有一个附着区域。6周后,OCT显示ERM与视网膜完全分离,中央凹轮廓恢复。结论:本病例对现有文献中关于经PVD自发性ERM分离的研究有贡献,其分离机制在oct上得到了独特的证实,对于初步影像学上有后玻璃体附着的轻度症状ERM患者,观察可能是一种合理的方法。
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引用次数: 0
Odontogenic Orbital Cellulitis due to an Oroantral Fistula following Dental Extraction: A Case Report. 拔牙后口窦瘘致牙源性眼眶蜂窝织炎1例报告。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1159/000548594
Cody Lo, Zhao Xun Feng, Ashley Hee Seung Kim, Georges Nassrallah

Introduction: Orbital cellulitis is a serious infection involving the soft tissues of the orbit. Odontogenic orbital cellulitis (OOC) is an important subtype and typically results from the contiguous spread of a dental infection. One uncommon route for this spread is the development of an oroantral fistula (OAF), a communication between the oral cavity and maxillary sinus which typically arises after extraction of a maxillary molar.

Case presentation: A 47-year-old female presented to the emergency department with a 1-day history of right-sided periorbital edema and pain on extraocular movements. She had a history of a right maxillary dental infection which required tooth extraction 2 months prior to presentation. Her ocular exam revealed right periorbital edema and erythema that extended down to the midface with mild tenderness to palpation. Computed tomography scan showed pre-septal cellulitis, post-septal fat stranding, and a right-sided OAF. The patient had a complete resolution of infection and spontaneous closure of the OAF after 1 month of meropenem 1 g IV daily.

Conclusion: In conclusion, this case highlights a rare presentation of OOC due to an OAF occurring months after dental extraction. Immediate imaging due to atypical history, including lack of dental pain, allowed for prompt identification of the OAF and subsequent use of appropriate broad-spectrum antibiotics resulting in a favorable outcome compared to previously published cases. It is critical to recognize odontogenic infections as treatment differs from other etiologies of orbital cellulitis.

眼眶蜂窝织炎是一种严重的眼眶软组织感染。牙源性眼眶蜂窝织炎(OOC)是一种重要的亚型,通常由牙齿感染的连续扩散引起。一种罕见的传播途径是口腔和上颌窦之间的沟通,通常在拔除上颌磨牙后出现。病例介绍:一名47岁女性,因右侧眶周水肿和眼外运动疼痛1天就诊于急诊科。她有右上颌牙感染病史,就诊前2个月需要拔牙。眼部检查发现右眼眶周围水肿及红斑延伸至面部中部,触诊有轻微压痛。计算机断层扫描显示间隔前蜂窝织炎,间隔后脂肪搁浅,右侧OAF。患者在给予美罗培南1 g / d静脉治疗1个月后感染完全消失,OAF自动闭合。结论:总之,本病例突出了一个罕见的由于拔牙后数月发生的OAF而导致的OOC。由于非典型病史,包括没有牙痛,立即成像可以及时识别OAF,随后使用适当的广谱抗生素,与先前发表的病例相比,结果良好。关键是要认识到牙源性感染的治疗不同于其他病因的眼眶蜂窝织炎。
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引用次数: 0
Short-Term Topical Minoxidil Use Associated with Acute Central Serous Chorioretinopathy: A Case Report. 短期局部使用米诺地尔与急性中枢性浆液性脉络膜视网膜病变相关:1例报告。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.1159/000548230
Jacob Brucker, Brian Mihok, Jeffrey Bloom

Introduction: Minoxidil is a topical, over-the-counter, FDA-approved drug used to treat male and female pattern hair loss. Three case reports were published associating long-term use of topical minoxidil to central serous chorioretinopathy (CSCR) after 4, 6, and 8 months of use. In this report, we will present a case of CSCR after 1 week of topical minoxidil use that resolved with discontinuation of medication and observation 6 weeks later.

Case presentation: A 34-year-old Hispanic male presented with a 2-week history of central visual loss and flashes in the left eye. His only medication use was 5% topical minoxidil foam for hair loss, which he had started 1 week prior to symptom onset. Ophthalmic exam revealed a round elevation of parafoveal region of the left macula with optical coherence tomography evidence of subretinal fluid and an inferior pigmented epithelial detachment, consistent with CSCR. Given recent initiation of topical minoxidil, we suspected that minoxidil may have induced CSCR. Topical minoxidil was discontinued with recommended observation. There was complete resolution of CSCR at 6-week follow-up.

Conclusion: Subacute, unilateral central visual loss in an otherwise healthy 34-year-old male was found to be caused by minoxidil-induced CSCR. The correlation of topical minoxidil use 1 week prior to symptom onset with resolution of findings 6 weeks after discontinuing the medication suggests CSCR as a side effect of topical minoxidil. This case report suggests that short-term use of topical minoxidil, as short as 1 week, can induce CSCR. Our case shows that minoxidil-induced CSCR can be managed with medication discontinuation and observation.

简介:米诺地尔是一种局部,非处方,fda批准的药物,用于治疗男性和女性型脱发。已发表的3例病例报告将长期使用局部米诺地尔与中枢性浆液性脉络膜视网膜病变(CSCR)在使用4、6和8个月后联系起来。在本报告中,我们将报告一例局部使用米诺地尔1周后出现CSCR的病例,该病例在停药后6周观察后得到解决。病例介绍:一名34岁的西班牙裔男性,有2周的中枢性视力丧失和左眼闪光史。他唯一使用的药物是5%局部米诺地尔泡沫治疗脱发,他在症状出现前1周开始使用。眼科检查显示左侧黄斑中央凹旁区圆形升高,光学相干断层扫描显示视网膜下积液和下色素上皮脱离,符合CSCR。鉴于最近开始使用局部米诺地尔,我们怀疑米诺地尔可能诱发了CSCR。局部米诺地尔停止使用,并按照建议进行观察。随访6周,CSCR完全消退。结论:一名34岁健康男性的亚急性单侧中央视力丧失是由米诺地尔诱发的CSCR引起的。症状出现前1周局部使用米诺地尔与停药后6周症状缓解的相关性表明CSCR是局部使用米诺地尔的副作用。本病例报告提示短期使用局部米诺地尔,短至1周,可诱发CSCR。我们的病例表明,米诺地尔引起的CSCR可以通过停药和观察来控制。
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引用次数: 0
Partial-Thickness Corneal Patch Graft with Fibrin Glue for Tube Shunt Exposure: Case Report. 纤维蛋白胶部分厚度角膜贴片移植用于导管分流暴露1例报告。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-09-27 eCollection Date: 2025-01-01 DOI: 10.1159/000548727
Malachy Nemet, Dan Ramon, David Varssano, Shimon Kurtz, Michael Waisbourd

Introduction: Tube exposure is a serious complication of glaucoma drainage device implantation. We describe a novel surgical approach using a partial-thickness corneal patch graft with conjunctival autograft and fibrin glue in a setting of severe conjunctival deficiency.

Case presentation: We describe a 72-year-old man with chronic angle-closure glaucoma who presented with tube exposure 1 year after Ahmed valve implantation. Risk factors included diabetes mellitus, a failed trabeculectomy, and prior vitrectomy. The conjunctiva surrounding the exposed tube was ischemic and immobile, and the original corneal patch graft had partially degraded. Revision surgery involved suturing a 4-mm partial-thickness corneal button over the exposed tube, anchored to the residual graft edge and sclera. Due to insufficient mobile conjunctiva, a 4 × 3 mm conjunctival autograft was harvested from the temporal bulbar conjunctiva and secured with fibrin glue at the border of the corneal button, partially covering it, to promote epithelialization. At 1-year follow-up, the tube remained fully covered with no recurrence.

Conclusion: This unique surgical approach using a partial-thickness corneal button and conjunctival autograft offers a viable alternative in cases of tube exposure with severe conjunctival deficiency, where traditional techniques such as conjunctival advancement are not feasible.

导言:青光眼引流器植入术中,导管暴露是一个严重的并发症。我们描述了一种新颖的手术方法,使用部分厚度的角膜贴片与自体结膜移植和纤维蛋白胶在严重结膜缺陷的设置。病例介绍:我们描述了一位72岁的慢性闭角型青光眼患者,他在Ahmed瓣膜植入1年后出现了导管暴露。危险因素包括糖尿病、小梁切除术失败和既往玻璃体切除术。暴露管周围结膜缺血不动,原角膜贴片部分退化。翻修手术包括在暴露的管上缝合一个4mm的部分厚度的角膜按钮,锚定在残留的移植物边缘和巩膜上。由于结膜活动不足,我们从颞球结膜上取下一个4 × 3 mm的自体结膜移植物,在角膜按钮边缘用纤维蛋白胶固定,部分覆盖,以促进上皮化。随访1年,输卵管完全覆盖,无复发。结论:这种独特的手术方法使用部分厚度的角膜扣和自体结膜移植物,为严重结膜缺陷的患者提供了一种可行的替代方法,传统技术如结膜推进是不可行的。
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引用次数: 0
Congenital Unilateral Trochlear-Oculomotor Nerve Synkinesis: A Case Report. 先天性单侧滑车-动眼神经联动症1例。
IF 0.6 Q4 OPHTHALMOLOGY Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1159/000548547
Hind M Alhodaly, Amal Alhemidan

Introduction: Involuntary muscle stimulation by a nerve other than the normal muscle innervation leads to ocular synkinesis. The most common form of ocular synkinesis, which involves the extraocular muscles, occurs between the abducens and oculomotor nerves.

Case presentation: We describe a case of congenital unilateral trochlear-oculomotor synkinesis in a healthy 31-year-old woman, along with a review of the related literature. The patient shows unusual lid retraction when she depresses and adducts her left eye. Additionally, we discuss the proposed mechanisms underlying the pathophysiology, the ophthalmic workup, and suggested management strategies.

Conclusion: Given its rarity and potential to cause diagnostic confusion, physicians need to be aware of this condition.

不随意肌受到非正常肌肉神经支配的神经刺激可引起眼联动。眼联动最常见的形式,涉及眼外肌,发生在外展肌和动眼神经之间。病例介绍:我们描述了一例健康的31岁女性先天性单侧滑车-动眼肌联动症,并复习了相关文献。患者左眼下垂和上闭时出现不寻常的眼睑内缩。此外,我们讨论了潜在的病理生理机制,眼科检查和建议的管理策略。结论:鉴于其罕见性和可能引起诊断混淆,医生需要意识到这种情况。
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引用次数: 0
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