在高度近视的眼睛中,带有可植入的膜透镜的雷格马托基因视网膜脱落
Jun Li1, Chong-Lin Chen1, Jia-Qing Li1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, Guangdong Province, China.
International journal of ophthalmology
|February 19, 2024
概括
在具有可植入结膜透镜 (ICL) 的高度近视眼睛中,形视网膜脱落 (RRD) 呈现出多种视网膜断裂. 大多数ICL在RRD修复过程中被保存,实现了良好的视觉和解剖结果.
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
- 高近视管理管理 高近视管理
背景情况:
- 植入式膜透镜 (ICL) 是高近视的常见折射校正方法.
- 风湿性视网膜脱落 (RRD) 是眼科手术后的潜在并发症.
- 了解ICL植入眼睛中的RRD特征对于患者管理至关重要.
研究的目的:
- 研究之前ICL植入患者的RRD的临床特征,治疗策略和结果.
- 评估在RRD维修期间保存ICL的可行性.
主要方法:
- 在ICL植入后接受RRD治疗的高近视患者的回顾性审查 (2018年1月至2022年12月).
- 包括全面的眼科检查,视力敏度和 fundus 摄影.
- 对RRD形态,治疗干预和ICL状态的分析.
主要成果:
- 植入V4c-ICL的9只眼睛出现了RRD (ICL后平均32.4个月).
- 观察到不同的视网膜断裂形态,在所有情况下都有斑点脱落的RRD.
- 在7只眼睛中发生了ICL保存;显著的BCVA改善 (1.76到0.81 logMAR) 并没有出现复发性脱落.
结论:
- 在ICL植入眼睛中的视网膜断裂表现出各种表现.
- 在大多数RRD修复手术中,ICL的保存是可行的.
- 在高近视眼中用ICL修复RRD,可获得可接受的视觉和解剖结果.
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