用视神经和眼外肌肉截断来管理创伤性球体亚脱
Angela H Kim1,2, Janice Kim1, Zacharia H Nayer1
1Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York, New York, USA.
Orbit (Amsterdam, Netherlands)
|November 27, 2023
概括
对于带有视神经和眼外肌肉切割的创伤性部分球体外置,建议进行初始重新定位. 这种方法提供了更好的化品和心理结果,并有进一步并发症的风险较低.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 眼睛的塑料手术 眼睛的塑料手术
背景情况:
- 包括视神经和眼外肌肉 (EOM) 截断在内的部分球体脱带来了复杂的管理挑战.
- 现有的文献缺乏对这些特定的创伤性眼损伤的清晰护理算法.
研究的目的:
- 介绍一个护理算法,用于部分球体外置与视神经和EOM截面.
- 在这种情况下,分析初始重新定位与核化之间的结果.
主要方法:
- 用关键词进行文学综述,这些关键词涉及到全球亚脱,视神经切割和眼睛创伤.
- 来自24名患者的26只眼睛的分析,包括一个被介绍的病例,符合纳入标准.
- 排除全球破裂的病例,没有EOM附着的完全脱核,或未经证实的视神经切割.
主要成果:
- 73.08%的病例 (n=19) 进行了最初的地球重新定位.
- 11.54% (n=3) 的重定位病例需要由于疼痛或不良的体质而进行二次核切/内脏切除.
- 26.92%的病例 (n=7) 经历了初级内核切除,主要是由于缺乏视觉潜力.
结论:
- 最初的地球重新定位通常是可持续的,并且在创伤性部分外置中受益于视神经和EOM截面.
- 重定位可以带来更好的化效果和心理健康.
- 后续干预的低风险支持尝试初始重新定位以获得更好的患者结果.
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