术后晚期的玻璃体腔出血,用于增殖性糖尿病视网膜病变的玻璃切除术后 - - 观察与干预
Anand S Brar1, Umesh C Behera1, Sayali Karande1
1Retina and Vitreous Services, Anant Bajaj Retina Institute, L V Prasad Eye Institute (Mithu Tulsi Chanrai Campus), Bhubaneswar, Odisha, India.
Indian journal of ophthalmology
|December 22, 2023
概括
在多发性糖尿病视网膜病变 (PDR) 手术后对晚期术后玻璃体腔出血 (POVCH) 的密切观察与干预一样有效. 大多数病例自发地消失,注射油最好防止复发.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 糖尿病视网膜病变管理
背景情况:
- 晚期术后玻璃体腔出血 (POVCH) 是由于多发性糖尿病视网膜病变 (PDR) 的玻璃体切除术后的一种并发症.
- 对晚期POVCH的有效管理策略对于维护视觉功能至关重要.
研究的目的:
- 为了比较干预结果与晚期POVCH的观察结果,在治疗PDR并发症的眼睛中进行了玻璃切除术.
- 确定最佳的管理方法,以防止复发的POVCH.
主要方法:
- 这是一项10年后期的多中心观察性研究,涉及印度8个视网膜外科中心 (2010-2019).
- 对各种晚期POVCH管理策略的视觉和临床结果的分析.
- 纳入标准要求POVCH管理后至少6个月的随访.
主要成果:
- 晚期POVCH发生在261只眼睛中,平均发病时间为体外切除术/油切除术后7个月.
- 视力敏度的结果在管理方法之间没有显著差异 (P = 0.179).
- 仔细观察导致81.5天内83%的病例自发解决;油注射在预防复发方面最有效 (P < 0.001).
结论:
- 至少3个月的密切观察似乎与PDR中晚期POVCH的手术干预一样有效.
- 目前的治疗实践表明,观察是一种可行的初级方法,只在特定情况下进行干预.
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