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结合的尾切除术-非穿透性深层尾切除术,用于斯图尔奇-韦伯综合征的玻璃眼
Lulu Huang1,2, Li Xu1,2, Yixin Liu1,2
1Department of Ophthalmology, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ophthalmic research
|June 18, 2023
概括
结合式斜视切除术与非透性深层硬膜切除术 (CTNS) 是一种安全有效的手术选择,用于降低斯图尔奇-韦伯综合征 (SWS) 二次性玻璃眼患者的眼内压力. 这种程序显示出有希望的短期到中期成功率来管理这种复杂的疾病.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 血管形症 血管形症
背景情况:
- 斯特格-韦伯综合征 (SWS) 可以导致二级玻璃眼,通常与表皮层血管形有关.
- 评估SWS二次眼的手术干预对于维护视力至关重要.
研究的目的:
- 为了评估结合的骨干切除术-非穿透性深层硬膜切除术 (CTNS) 的疗效和安全性,作为SWS二次性玻璃眼的初始手术治疗.
主要方法:
- 对于21名患者的22只眼睛进行了回顾性审查,这些患者接受了针对SWS二级玻璃眼的CTNS (2019年4月 - 2020年8月).
- 通过眼内压力 (IOP) ≤21 mm Hg定义的手术成功,有或没有药物.
- 失败标准包括尽管服用药物,进行额外的手术或出现视力威胁的并发症,但IOP在目标范围之外.
主要成果:
- 一年和两年的总体成功率分别为95.2%和84.9%.
- 1年和2年的完全成功率分别为42.9%和36.7%.
- 平均随访时间为22.3个月,85.7%的眼睛取得了整体成功,52.4%的眼睛取得了完全成功. 过渡性低血是最常见的并发症 (50%).
结论:
- 在SWS中,CTNS有效地降低了脑内压力,这些患者是患有表皮层血管形的二次性玻璃眼患者.
- 该CTNS程序证明了在短到中期管理SWS二次青光瘤的安全性和有效性.
- 需要进行进一步的随机对照试验,以比较CTNS治疗的早期和晚期SWS光眼的长期结果.
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