Anterior segment ischemia following strabismus surgery in a young adult using gender-affirming estrogen hormone therapy.

Autor: Al-Lozi A; Department of Ophthalmology, Stanford University, Byers Eye Institute, Palo Alto, California., Koo EB; Department of Ophthalmology, Stanford University, Byers Eye Institute, Palo Alto, California., Lambert SR; Department of Ophthalmology, Stanford University, Byers Eye Institute, Palo Alto, California., Levin MH; Department of Ophthalmology, Palo Alto Medical Foundation, Palo Alto, California., Velez FG; Department of Ophthalmology, Stein Eye Institute UCLA, Doheny Eye Institute UCLA, University of California Los Angeles, Los Angeles, California., Do DV; Department of Ophthalmology, Stanford University, Byers Eye Institute, Palo Alto, California., Shue A; Department of Ophthalmology, Stanford University, Byers Eye Institute, Palo Alto, California. Electronic address: ann.shue@stanford.edu.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2023 Aug; Vol. 27 (4), pp. 233-236. Date of Electronic Publication: 2023 Jun 23.
DOI: 10.1016/j.jaapos.2023.05.004
Abstrakt: Well-known risk factors for anterior segment ischemia (ASI) following strabismus surgery include ipsilateral surgery on three or more rectus muscles, older age, and vasculopathy. ASI is rarely reported in young patients following uneventful strabismus surgery on two ipsilateral rectus muscles. We report a 30-year-old transgender female on long-term estrogen therapy who underwent strabismus surgery involving recessions of both lateral rectus muscles, the right inferior rectus muscle, and the left superior rectus muscle. The left eye developed severe ASI with hypotony maculopathy that was resistant to topical medications, oral steroids, anterior chamber reformation, and intravitreal steroid injection. Following phacoemulsification with intraocular lens and capsular tension ring insertion 1 year later, intraocular pressure and hypotony maculopathy improved.
(Copyright © 2023 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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