摘要
脉络膜脱离的发生主要与眼压降低、脉络膜循环障碍和脉络膜炎症相关.青光眼手术继发脉络膜脱离的原因包括术前降眼压药物的使用、术后低眼压、抗代谢药物的使用、全身因素等.玻璃体切除手术继发脉络膜脱离的原因包括手术操作问题、术中玻璃体腔填充物性质、眼底激光应用、切口渗漏等.巩膜环扎术继发脉络膜脱离的原因包括高度近视、环扎加压过紧与位置偏后.玻璃体注药术也有继发脉络膜脱离的个案.应加强眼科医生对这一并发症的认识,尽可能避免其发生.(国际眼科纵览,2024,48:460-463)
Abstract
The occurrence of choroidal detachment is mainly related to decreased intraocular pres-sure,choroidal circulation disorders,and choroidal inflammation.The reasons for secondary choroidal de-tachment after glaucoma surgery include the use of preoperative antiglaucoma drugs,postoperative low in-traocular pressure,the use of anti-metabolic drugs,systemic factors,etc.The reasons for secondary choroi-dal detachment after vitrectomy surgery include surgical operation issues,properties of intraoperative vitreous cavity filling,application of fundus laser,incision leakage,etc.The reasons for secondary choroidal detach-ment after scleral buckling surgery include high myopia,tight pressure during buckling,and posterior posi-tioning.There have also been cases of secondary choroidal detachment during intravitreal injection.This re-view aims to enhance the understanding of choroidal detachment among ophthalmologists,thereby facilitating preventive measures to mitigate its occurrence.(Int Rev Ophthalmol,2024,48:460-463)
万方数据