内科手术光学连贯性断层扫描指导的跨结膜血栓 suturing - 一种最小的侵入性技术管理过血栓的管理
Dewang Angmo1, Chandra Devi, Tanuj Dada
1Glaucoma Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian journal of ophthalmology
|December 26, 2023
概括
实时集成的手术内光学连贯性断层扫描 (iOCT) 引导的血栓 suturing 成功治疗眼外科手术后的持续性低血压. 这种先进的成像改善了两个患者的眼内压力和视力敏度.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 玻璃眼外科手术,如管切除术,可以导致诸如持续性低血压等并发症.
- 持续的低血压可能会导致视力丧失,原因是低血压性黄斑病和冠状腺脱落.
- 实时集成的手术内光学连贯性断层扫描 (iOCT) 在手术期间提供了增强的可视化.
研究的目的:
- 评估iOCT指导的跨结膜血栓 suturing的有效性,用于管理持续性低血压后trabeculectomy.
- 评估该技术对眼内压力 (IOP) 和视力敏度的影响.
主要方法:
- 治疗了两名患有晚期玻璃眼光神经病变和持续性低血压的患者,这些患者在trabeculectomy后接受治疗.
- 综合性手术内光学连贯性断层扫描 (iOCT) 用于识别过过的血栓和膜.
- 在iOCT的指导下进行了跨结膜血栓接.
主要成果:
- iOCT准确地定位了硬膜,以实现精确的接.
- 经结膜血栓 suturing 导致成功管理低血压.
- 在手术后,患者的眼内压力和视力敏度有所改善.
结论:
- 以iOCT为指导的跨结膜斑 suturing是一种有效的微创手术技术,用于管理持续的低血压在绿眼瘤手术后.
- 这种方法提高了手术精度,并改善了患者的治疗结果,包括IOP和视力恢复.
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