Case of Anterior Segment Ischemia after Two Vertical Rectus Muscles Surgery
Journal of the Korean Ophthalmological Society
; : 1195-1200, 2018.
Article
在 Ko
| WPRIM
| ID: wpr-738494
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To report a case of anterior segment ischemia after superior and inferior rectus muscle surgery in a patient with superior rectus muscle enlargement. This is the first report in the Republic of Korea of anterior segment ischemia after two rectus muscles surgery. CASESUMMARY:
An 80-year-old male was referred to our clinic with a 3 years history of diplopia. The patient had 30 prism diopters right eye hypertropia in the primary position and downgaze limitation. The orbital computed tomography scan revealed enlargement of the right superior rectus muscle. He underwent right superior rectus recession and inferior rectus resection. On postoperative day 2, slit lamp examination revealed diffuse corneal edema, Descemet's membrane folding, an aqueous flare and a dilated pupil. Treatment with 45 mg oral steroid was initiated, and 1% prednisolone acetate and 0.5% Levofloxacin eye drops were administered. At postoperative 1 month, the patient was orthophoric in the primary position, and there was no corneal edema, pupil abnormality or aqueous flare.CONCLUSIONS:
Base on the present case, the possibility of anterior segment ischemia should be considered after even two muscles surgery, and older patients with vertical muscle surgery should be considered more carefully.Key words
全文:
1
索引:
WPRIM
主要主题:
Ophthalmic Solutions
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Orbit
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Aqueous Humor
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Prednisolone
/
Corneal Edema
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Pupil
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Strabismus
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Descemet Membrane
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Diplopia
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Republic of Korea
限制:
Aged
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Aged80
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Humans
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Male
国家/地区名称主题:
Asia
语言:
Ko
期刊:
Journal of the Korean Ophthalmological Society
年:
2018
类型:
Article