首页|双眼电焊弧光黄斑损伤1例

双眼电焊弧光黄斑损伤1例

扫码查看
电焊在日常工作中广泛使用,但操作工人常常会受到电焊弧光的照射,导致眼部损伤,影响视力.因此,工作中对眼部的保护非常重要.本院曾收治 1 例因焊接工作时未采取眼部防护措施而导致双眼黄斑光损伤的患者.在此患者就诊期间,使用了激光扫描检眼镜(SLO)、光学相干断层扫描血管成像(OCTA)和光学相干断层扫描成像(OCT)等设备,监测其视网膜黄斑的变化情况,及时了解病情发展并评估预后.根据检查结果和视网膜黄斑损伤的情况,积极调整治疗方案,实现了早发现和早治疗,避免了病情加重对视力的进一步损害.当发现患者的双眼黄斑区出现脉络膜新生血管后,及时采取了玻璃体腔内抗血管内皮生长因子(VEGF)药物注射的方法进行治疗,成功挽救了患者的视力.在治疗过程中,使用OCTA记录了注射后黄斑区脉络膜新生血管的密度、面积变化及波动情况,这些数据为治疗带来了明显的帮助和收益.因此,OCTA和OCT在视网膜黄斑病变类疾病的治疗中具有重要的指导意义.
A case of macular damage caused by electric welding arc light in both eyes
Electric welding is widely used in daily work,but the workers who operate it are often exposed to the arc light of the welding arc,which leads to eye injuries and affects their vision.Therefore,eye protection at work is very important.We have admitted a patient with macular light damage in both eyes due to failure to take eye protection measures during welding work.During this patient's visit,scanning laser ophthalmoscope(SLO),optical coherence tomography angiography(OCTA)and optical coherence tomography(OCT)are used to monitor the changes in the retinal macula,to keep abreast of the disease progression and to assess the prognosis.Based on the examination results and the retinal macular damage,the treatment plan was actively adjusted to achieve early detection and early treatment,avoiding further damage to vision due to aggravation of the disease.When the patient has choroidal neovascularization in the macular region of both eyes,intravitreal anti-vascular endothelial growth factor(VEGF)injection is promptly taken for treatment,which successfully saves the patient's vision.During the treatment,OCTA is used to record the density and area changes and fluctuations of choroidal neovascularization in the macular area after the injection,and these data brought significant help and benefit to the treatment.Thus,OCTA and OCT have important guiding significance in the treatment of retinal maculopathy-like diseases.

Electric welding arc lightOptical coherence tomographyMacular damageVascular endothelial growth factorRetina

白杨、费春丽

展开 >

214000 上海交通大学医学院附属瑞金医院无锡分院眼科

电焊弧光 光学相干断层扫描 黄斑损伤 抗血管内皮生长因子 视网膜

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(14)
  • 15