先天性白内障术后视网膜脱离合并睫状体环形纤维增生1例并文献复习

Retinal detachment with concurrent annular fibrous hyperplasia around the ciliary body after congenital cataract surgery:a case report and literature review

目的 报道1例先天性白内障术后视网膜脱离合并睫状体环形纤维增生病例的临床特征及治疗要点,分析其形成的病理机制。方法 回顾该病例的诊断和治疗过程,结合病例资料及相关文献进行分析讨论。结果 术中取出人工晶状体,行玻璃体切除术,剥离并切除睫状体环形增殖物后,复位视网膜,填充硅油。3个月后取出硅油并悬吊人工晶状体,术后患者视网膜平伏,眼压恢复至正常。结论 视网膜脱离是先天性白内障术后严重的并发症之一,形成睫状体环形纤维增生的患者可表现为慢性低眼压和角膜带状变性,手术治疗应以保证眼压的维持并提高视力为目标。

Objective To report the clinical features and treatment of retinal detachment,combined with annular fiber hyperplasia around the ciliary body,in a patient who underwent congenital cataract surgery. We also reviewed the pathological mechanism of its formation. Methods The diagnosis and treatment of this case were reviewed,and the clinical file and related literature were reviewed. Results The intraocular lens was removed intraoperatively,and a vitrectomy was performed. Silicone oil was injected after stripping and removing the annular proliferator to reset the retina. After three months,the silicone oil was removed,and the intraocular lens was suspended. Then the patient’s retina was flattened,and the intraocular pressure normalized. Conclusion Retinald etachment is a severe complication of congenital cataract surgery. Patients with annular fibrous hyperplasia around the ciliary body may present with chronic hypotony and corneal zonal degeneration. Surgical management should aim to maintain intraocular pressure and improve visual acuity.