外部压缩性缺血性轨道病:一个新兴的临床实体
Benjamin K Ghiam1, Brian J Liu2, Jose J Echegaray1
1Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Case Western Reserve University, Cleveland, Ohio, U.S.A.
Ophthalmic plastic and reconstructive surgery
|July 24, 2023
概括
星期六晚上视网膜病变,这是由于物质诱导昏迷期间的轨道压缩而引起的罕见病症,以及类似的手术病例被结合为外部压缩性缺血性轨道病变. 越来越多的人报告这种危及视力的疾病.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 毒理学 毒理学 毒理学
背景情况:
- 星期六晚上的视网膜病变是一种罕见的疾病,导致单侧视轨膜病变,眼和缺血视网膜病变,这是由于药物/酒精麻木期间的外部轨道压缩造成的.
- 这个实体反映了脊柱外科手术后由于靠头诱导的轨道压缩而出现的轨道病变.
- 增加的发病率与不断增加的物质使用相关.
研究的目的:
- 将"周六夜视网膜病变"和术后轨道病变结合在"外部压缩性缺血性轨道病变"的总体术语下.
- 对这个合并实体进行全面的文献审查.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括详细介绍由于轨道压缩导致视力丧失的出版物.
- 数据提取包括患者的人口统计,诱发因素,眼部症状,结果和成像.
主要成果:
- 分析了31篇文章和46名患者,10名来自药物麻木,36名来自倾斜位置手术.
- 在79%的患者中存在严重的视力损伤 (光感知视觉敏度或更差).
- 常见的发现包括眼膜 (86%),和轨道 (92%),视网膜缺血 (86%). 与药物使用相关的病例与手术病例相比显示出较差的结果.
结论:
- 外部压缩性缺血性轨道病是一种严重的,视力威胁的疾病.
- 在过去的十年中,报告的病例显著增加.
- 药物诱导的病例比手术诱导的病例更严重的视觉和眼部并发症.
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