在间接创伤性视神经病变中,导航引导的跨状轨道光通道减压:长期结果
Kasturi Bhattacharjee1, Deepak Soni2, Vatsalya Venkatraman2
1Ophthalmic Plastic and Reconstructive Surgery, Ocular Oncology and Facial Aesthetics, Sri Sankaradeva Nethralaya, Guwahati, Assam, India kasturibhattacharjee44@gmail.com.
The British journal of ophthalmology
|July 6, 2023
概括
导航导向的跨骨视通道减压 (NGTcOCD) 改善了创伤性视神经病变 (TON) 患者的视力. 这种微创的技术提供了可比且优异的结果,即使在那些对类固醇无反应的情况下也是如此.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 间接创伤性视神经病变 (TON) 在视觉恢复方面经常带来挑战.
- 类固醇治疗是一种常见的初始治疗方法,但结果可能会变化.
研究的目的:
- 为了评估导航引导的跨骨视通道减压 (NGTcOCD) 间接TON的手术结果.
- 探索视觉预后,视觉唤起潜力 (VEP),视通道解剖学 (DeLano类型) 和Onodi细胞之间的关系.
主要方法:
- 一项前性观察性研究包括52名间接TON患者,对类固醇无反应.
- 患者被分为三个组:具有视通道骨折的NGTcOCD (I组),没有骨折的NGTcOCD (II组) 和没有减压的NGTcOCD (III组).
- 测量结果包括不同时间点的视力敏度 (VA),以及1年后的VEP幅度和延迟.
主要成果:
- 两个NGTcOCD组 (I和II) 与表现相比,VA和VEP平均振幅显著改善.
- 第二组也显示了VEP延迟的显著改善.
- 接受NGTcOCD的患者比没有减压组的患者有更好的结果.
- 呈现VA和DeLano1型光通道是显著的预后因素.
结论:
- NGTcOCD提供了一种微创的跨关节方法,用于视通道减压.
- 这种技术在间接TON患者中产生了可比且优异的结果,无论视通道骨折如何,特别是当类固醇治疗失败时.
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