在25-Gauge Pars Plana 视体切除术后使用不正确的气体混合物进行轨道气体
Noy Ashkenazy1,2, Carl J Danzig3,4, Andrew J Rong1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Case reports in ophthalmology
|July 24, 2023
概括
无视镜切除术后不正确的气体度可能会导致高眼内压和轨道气体. 结合眼内和轨道减压在两种情况下有效地管理了这些并发症.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
背景情况:
- 无管25度帕斯普拉纳玻璃切除术与液体气体交换是一种常见的手术.
- 可能会出现诸如眼内压升高和轨道气体积累等并发症.
- 玻璃切除术后轨道气体的最佳管理方法尚不清楚.
研究的目的:
- 在玻璃切除术后,介绍两个管理高眼内压和轨道气体的案例.
- 讨论结合眼内和轨道减压技术的有效性.
主要方法:
- 详细介绍了两起涉及无25度帕斯普拉纳玻璃切除术和液体气体交换的病例.
- 第一个病例涉及结合前方轨道切除和半平面玻璃切除,以去除气体.
- 第二个案例是使用针去除玻璃体和轨道气体.
主要成果:
- 这两种病例都呈现出眼内压力升高和后气体,怀疑是由于气体度不正确而引起的.
- 结合眼内和轨道减压策略被成功使用.
- 经过这些减压程序后,临床结果得到了优化.
结论:
- 结合眼内和轨道减压可以有效地管理高眼内压力和轨道气体在肠外切除术后.
- 应考虑采取多学科的方法来管理这些罕见但严重的并发症.
- 需要进一步就最佳管理策略达成共识.
更多相关视频
11:06Subretinal Implantation of RPE on a Carrier in Minipigs: Guidelines for Preoperative Preparations, Surgical Techniques, and Postoperative Care
Published on: November 11, 2022
2.8K
10:10Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
1.5K
相关概念视频
Angle Closure Glaucoma: Treatment
572
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
572
Glaucoma: Overview
623
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
623
Open Angle Glaucoma: Treatment
481
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
481
