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突然的单边视力丧失由于一个细胞粘膜细胞
Yong Jun Yoo1, Gyu Tae Kim1, Marn Joon Park1
1Department of Otorhinolaryngology-Head and Neck Surgery, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Ear, nose, & throat journal
|November 24, 2023
概括
鼻手术后突然的视力丧失可能表明视神经受到奥诺迪细胞粘膜细胞的压缩. 手术减压和类固醇在这种缺血视神经病变病例中提供有限的视觉恢复.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
背景情况:
- 在鼻手术后突然失去视力可能与视神经损害有关.
- 压缩性粘膜,特别是在带有轨道顶部骨脱落的Onodi细胞中,对视神经构成风险.
研究的目的:
- 报告因奥诺迪细胞粘膜细胞而导致的突发视力丧失病例.
- 讨论管理压缩性缺血光神经病的诊断和治疗方面的挑战.
主要方法:
- 一个41岁的男性病例报告,有鼻手术史,呈现出突然视力丧失.
- 计算机断层扫描 (CT) 确定了一个带有轨道顶部脱光的Onodi细胞粘膜.
- 进行了内镜辅助的内毛囊化和高剂量静脉注射德克萨米他.
主要成果:
- 患者在手术后的视力敏度略有改善 (从手动到数指).
- 没有观察到进一步的视觉恢复,尽管成功解压粘膜细胞.
- 病理学证实鼻子粘膜炎症与粘膜结合.
结论:
- 体细胞粘膜,特别是带有轨道顶部骨脱落,可以引起直接的视神经损伤.
- 压缩性缺血性视觉神经病变中的视觉恢复通常是有限的,即使有迅速的干预.
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