内膜异位的病因学和管理
Ramin Khoramnia1, Isabella Diana Baur1, Gerd U Auffarth1
1International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland.
Klinische Monatsblatter fur Augenheilkunde
|July 26, 2023
概括
眼内透镜 (IOL) 脱位可能是早期或晚期的,需要进行手术纠正. 虹膜固定 IOL (IFIOL) 和膜固定 IOL (SFIOL) 提供相似的视觉效果,但具有不同的风险.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 眼内镜片 眼内镜片 眼内镜片
背景情况:
- 眼内镜片 (IOL) 脱位是一种可能在白内障手术后早晚发生的并发症.
- 早期脱位与囊袋固定不充分有关,而晚期脱位则是由于渐进的区域性缺陷造成的.
- 虹膜固定性IOL (IFIOL) 和膜固定性IOL (SFIOL) 是IOL更换的主要外科选择.
研究的目的:
- 综述和总结最重要的技巧,用于IOL交换,当发生脱位.
- 为了比较IFIOL和SFIOL的结果和风险概况.
- 根据个体患者的因素,为选择合适的IOL固定方法提供指导.
主要方法:
- 对描述的膜固定技术的审查,包括带有和没有的技术.
- 对IFIOL和SFIOL视觉结果和并发症率的比较分析.
- 讨论IOL交换程序中的个案决策.
主要成果:
- 无论是IFIOL还是SFIOL,对于需要内腔镜更换的患者来说,都能达到可比的视觉结果.
- 与IFIOL和SFIOL相关的风险概况存在显著差异.
- 在IFIOL和SFIOL之间做出选择取决于外科医生的专业知识和患者的具体考虑.
结论:
- IOL脱位的外科治疗提供了可行的选择,具有类似的视觉成功.
- 了解IFIOL和SFIOL的独特风险概况对于患者安全至关重要.
- 个性化手术规划对于IOL交换程序的最佳结果至关重要.
相关概念视频
01:25Glaucoma: 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
01:28Angle Closure Glaucoma: Treatment
565
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...
565
01:27Open 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