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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
4/2010
vol. 112
 
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Odłączenie naczyniówki po operacji zeza w wysokiej krótkowzroczności

Maciej Gawęcki
1
,
Andrzej Gębka
2
,
Krystyna Raczyńska
2

  1. Department of Ophthalmology of Specialist Hospital in Chojnice
  2. Department of Ophthalmology of Medical University of Gdansk
Data publikacji online: 2010/12/22
Pełna treść artykułu Pobierz cytowanie
 


We present a case of 60 years old woman, who underwent strabismus surgery due to cosmetically disturbing large divergent strabismus. Before surgery we found exotropia of the LE of 40 PD with hypotropia of 15 PD. Patient had surgery of convergent strabismus on this eye in childhood. LE was amblyopic since childhood, BCVA = 1/50, with moderate axial myopia and astigmatism (-2.75/ -2.0 ax 165). We performed lateral rectus recession of 8 mm and medial rectus anteposition of 2 mm with simultaneous vertical transposition of these muscles 7 mm upwards. Despite special attention during scleral pass of the needle due to thin myopic sclera, a single microperforation occurred, followed by seemingly insignificant vitreal flow. On the next day after surgery horizontal orthoposition was achieved with reduction of hypotropia to 7 PD. However, we found small vitreal hemorrhage and significant retinal folding. On USG exam we found large choroidal detachment in all quadrants. As there was possibility of simultaneous retinal detachment, patient was hospitalized in Department of Ophthalmology of Medical University of Gdańsk, where conservative treatment was applied and retinal detachment excluded. Four weeks after surgery complete choroidal attachment was achieved.
słowa kluczowe:

krótkowzroczność, zez, odłączenie naczyniówki

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