[患有创伤后阴和二次绿眼的患者的康复]
N A Pozdeyeva1,2, N Yu Gorbunova1,2, I A Frolychev1,2
1Cheboksary branch of the S.N. Fedorov National Medical Research Center "MNTK "Eye Microsurgery", Cheboksary, Russia.
Vestnik oftalmologii
|January 18, 2024
概括
在虹膜-透镜膜植入后的二次玻璃眼瘤管理对于创伤性无视症患者至关重要. 最佳的结果需要补偿眼内压力和特定的玻璃眼瘤手术,如艾哈迈德膜植入或微脉冲透膜激光循环光凝.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 创伤性眼损伤管理
背景情况:
- 二次性玻璃眼症在康复创伤性虹膜损伤患者方面存在重大挑战.
- 创伤后无视症往往需要复杂的管理,包括眼内透镜植入.
研究的目的:
- 为了分析经历创伤后无毛病和二次玻璃眼的患者的长期康复结果.
- 为了评估人工虹膜-透镜隔膜 (ILD) 植入在这个患者队列中的疗效.
主要方法:
- 在2002年至2022年期间,一组310名患有创伤后阴症的患者接受了人工虹膜-透镜隔膜 (ILD).
- 在61名患者中存在先前存在的二次格劳科马,有不同的手术或医疗管理.
- 眼内压力 (IOP) 控制和ILD植入后的外科手术被精心记录.
主要成果:
- 在ILD植入后三个月内,在一些患者中观察到IOP的短暂增加.
- 在先前进行眼外科手术的患者中,22.9%的患者和在医疗管理的患者中,80.8%的患者发生了眼失补偿.
- 在ILD植入后的新发性玻璃眼瘤影响了6.8%的患者;艾哈迈德植入和微脉冲跨激光循环光凝血 (MP-TSCPC) 是常见的干预措施.
结论:
- 对于二次格朗瘤的创伤后无血症,ILD植入最好用补偿的IOP进行,并且至少在格朗瘤手术后6-12个月.
- 艾哈迈德膜植入和MP-TSCPC在这个复杂的患者群体中证明了对IOP管理的最佳疗效.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
500
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...
500
01:27Open Angle Glaucoma: Treatment
453
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...
453
01:25Glaucoma: Overview
574
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...
574