糖尿病患者白内障摘除手术后前部缺血性视神经病变1例  

A case of anterior ischemic optic neuropathy after uneventful cataract surgery in a diabetic patient

作　　者：吴婵[1] 戴荣平[1] 王造文[1] 钟勇[1] Wu Chan;Dai Rongping;Wang Zaowen;Zhong Yong(Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院眼科,北京100730

出　　处：《中华眼科杂志》2022年第1期46-48,共3页Chinese Journal of Ophthalmology

摘　　要：1例糖尿病患者左眼白内障摘除手术后第3天主诉左眼下方视野遮挡感,伴视力下降。眼底检查见左眼视盘边界欠清,相干光层析成像术及视野检查后诊断为缺血性视神经病变,考虑为患者术前自行用含有肾上腺素的复方托吡卡胺滴眼液点眼过多所致,确诊后及时治疗,患者视力及视野均恢复良好。A diabetic patient complained of sudden visual field defect on the third day after cataract surgery.The fundus examination showed optic disc edema in the left eye,which was diagnosed as anterior ischemic optic neuropathy by optical coherence tomography and visual field examinations.The optic neuropathy was induced by the excessive application of tropicamide phenylephrine eye drops by herself before cataract surgery.After timely treatment,the patient′s vision and visual field recovered well.

关 键 词：视神经病变 缺血性 超声乳化白内障吸除术 白内障摘除术 糖尿病 

分 类 号：R587.1[医药卫生—内分泌] R779.66[医药卫生—内科学]