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鼻内注射醋酸甲基强的松龙混悬剂,可因混悬的药物微粒引起视网膜脉络膜血管检塞而导致永久性或一过性视力丧失。本文报告两个病例:例1为34岁女性,于鼻中隔矫正、筛窦开放和多发性鼻息肉摘除术结束时,在双侧鼻腔后份的筛骨及邻近的中隔表面组织内注入1.5ml醋酸甲基强的松龙混悬剂。手术系在全麻下进行,病人醒后立即感到右眼视力明显下降,仅为15cm手动,右侧瞳孔扩大固定。术后9小时,眼底检查发现
Intranasal injection of methylprednisolone acetate suspension can result in permanent or transient vision loss due to retinal choroidal vasculopathy caused by suspended drug particles. This article reports two cases: Example 1 A 34-year-old female with 1.5 ml (1.5 ml) of nasal septal ethmoid bone and adjacent septal surface tissue, at the end of nasal septum correction, ethmoid sinus opening and multiple nasal polyp removal, Acetyl methylprednisolone suspension. Department of surgery under general anesthesia, the patient woke up immediately after the visual acuity decreased significantly right eye, only 15cm manual, the right side of the pupil to expand fixed. Nine hours after surgery, fundus examination found