在初级先天性玻璃眼瘤初步干预失败后的二次干预
1Department of Ophtalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Journal francais d'ophtalmologie
|February 20, 2024
概括
对于初始先天性玻璃眼 (PCG) 病例,如果初始治疗失败,随后的玻璃眼手术通常是必要的. 这些重复的程序表明,在管理PCG时,成功率约为70%.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 初级先天性玻璃眼 (PCG) 是一种在婴儿期出现的严重形式的玻璃眼.
- 对于PCG的初步手术可能会失败,需要进一步的治疗.
- 了解重复手术的结果对于管理PCG至关重要.
研究的目的:
- 为了评估随后的眼睛手术干预的有效性,初级先天性玻璃眼 (PCG) 在最初的手术后没有取得成功.
- 为了确定在这个儿科群体中重复进行青光眼手术的成功率和长期结果.
主要方法:
- 对被诊断患有PCG的儿童进行了回顾性图表审查,这些儿童接受了初始失败的青光眼手术.
- 收集的数据包括患者的人口统计和手术前后的临床特征.
- 成功被定义为眼内压力 (IOP) 低于16mmHg,眼内压力减少至少20%,视神经状况稳定或改善 (杯与光盘比).
主要成果:
- 在接受PCG的531只眼睛中,58只眼睛 (10.9%) 需要在初始失败后重复进行绿眼镜手术.
- 平均每只眼睛进行的青光眼手术数量为2.6.
- 随后的手术在约70%的病例中取得了成功,基于已建立的IOP和视神经标准.
结论:
- 重复的玻璃眼外科手术在相当大比例的原始先天性玻璃眼病例中是必要的.
- 后续手术的成功率很高,约为70%,为管理持久性PCG提供了可行的选择.
- 这些发现强调了考虑重复干预对于PCG的最佳长期视觉结果的重要性.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
498
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...
498
01:27Open Angle Glaucoma: Treatment
449
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...
449
01:25Glaucoma: Overview
570
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...
570