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NR 1-3/2005
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Śródoperacyjny
krwotok naczyniówkowy u pacjenta z zespołem Rendu – Oslera
Intraoperative choroidal
hemorrhage in patient with Osler-Rendu syndrome
Jerzy Szaflik, Anna Kamińska, Małgorzata
Zaraś
Z Katedry i Kliniki Okulistyki II Wydziału Lekarskiego Akademii
Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
The authors describe a
79-year-old man with Osler-Rendu-Weber syndrome, who
developed intraoperative choroidal hemorrhage in left
eye. During phacoemulsification under local anesthesia,
shallowing of the anterior chamber was observed.
Acetazolamide was administered and peribulbar block
performed. Phacoemulsifikation was continued and
intraocular lens implanted. Five months postoperatively
resolution of the choroidal hemorrhage was observed.
Best corrected visual acuity was 0.5. Patient developed
retinal embolism in his right eye 16 years earlier.
Conclusions:
1 Choroidal hemorrhage may occur more commonly in
patients with Osler-Rendu-Weber syndrome. Recognition of
this possible association and institution of appropriate
intraoperative precautions may facilitate a good visual
outcome.
2 Paradoxical embolization (stroke, retinal embolism) is
the most serious consequence of hereditary hemorrhagic
teleangiectasia. |
| Słowa kluczowe: |
zespół Rendu – Oslera,
krwotok naczyniówkowy, operacja zaćmy. |
| Key words: |
Rendu – Osler syndrome,
choroidal hemorrhage, cataract surgery. |
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