斜视手术后的 Posner-Schlossman 综合征病例

Seung Yeon Lee, Min Seok Kang
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摘要

目的:报告一例斜视手术后出现的 Posner-Schlossman 综合征。病例摘要:一名 21 岁的男性患者曾因右眼风湿性视网膜脱离接受过巩膜扣带手术,后因间歇性外斜接受了左眼外侧直肌切除和内侧直肌切除手术。术后第二天开始,他就诉说左眼视力模糊和疼痛。术后第四天就诊时,他的最佳矫正视力为 20/50,左眼眼压为 44 mmHg。裂隙灯检查显示左眼角膜水肿、前房细胞 2+、前房深、眼角开大。在使用抗青光眼眼药水和类固醇眼药水治疗后,眼压降至 13 mmHg。在两个月的随访期间,没有任何复发迹象:结论:斜视手术后出现的 Posner-Schlossmann 综合征必须及早诊断并立即治疗。
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A Case of Posner-Schlossman Syndrome following after Strabismus Surgery
Purpose: To report one case of Posner-Schlossman syndrome following after strabismus surgery.Case summary: A 21-year-old male patient with a previous history of scleral buckling due to rhegmatogenous retinal detachment in right eye, underwent left lateral rectus muscle recession and medial rectus muscle resection surgery for the intermittent exotropia. He complained of blurred vision and pain in the left eye starting from the day after the surgery. When he visited the clinic on the fourth day post-surgery, his best corrected visual acuity was 20/50 and intraocular pressure was 44 mmHg in the left eye. Slit lamp examination revealed corneal edema, 2+ anterior chamber cells, deep anterior chamber, and an open angle in the left eye. After treatment with antiglaucoma eyedrops and steroid eyedrops, the intraocular pressure decreased to 13 mmHg. There were no signs of recurrence during the two-month follow-up period.Conclusions: Posner-Schlossmann syndrome, which occurs after strabismus surgery, must be diagnosed early and treated immediately.
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