日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
症例報告
レーザー虹彩切開術後にロボット支援手術を行った原発性閉塞隅角症疑い(PACS)の1例
細川 義彦板垣 博也志鎌 あゆみ秋山 梓田坂 暢崇越智 寛幸水口 剛雄佐藤 豊実
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2020 年 36 巻 1 号 p. 203-206

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Case report: We report about a patient who underwent robot-assisted laparoscopic hysterectomy (RALH) after laser iridotomy (LI) for corner angle closure.

Case: The patient was a 50-year-old woman who was gravida 2, para 1 and experienced menopause at 47 years of age. She was diagnosed with atypical endometrial hyperplasia with total curettage of the endometrium. An ophthalmologist suspected bilateral corner angle closure so that LI is needed before robot-assisted surgery in order to prevent postoperative visual loss. RALH and bilateral salpingo-oophorectomy (BSO) were performed two weeks after bilateral laser peripheral iridotomy. The patient had no complications during and after surgery. Hence, LI before RALH may be an option to prevent postoperative visual loss in patients with corner angle closure.

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