复杂的带切除术转换为外部循环透析
Daiane Beutinger1, Candice Carolina de Mesquita Costa1, Niro Kasahara1,2
1Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Arquivos brasileiros de oftalmologia
|March 7, 2024
概括
复杂的带切除手术可以转换为外部循环透析. 这种技术成功地降低了先天性玻璃眼病患者的眼内压力,患者患有膜的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 视光眼管理 视光眼管理
背景情况:
- 轨道切除术是一种常见的玻璃眼外科手术.
- 在膜形成过程中的并发症可能需要程序性流产.
- 先天性玻璃眼呈现独特的外科手术挑战.
研究的目的:
- 描述一项将复杂的带切除术转化为外部循环透析的技术.
- 在患有先天性玻璃眼患者中报告这种转换的结果.
主要方法:
- 在轨道切除术期间进行的部分厚度的膜片剖析因膜穿孔而复杂化.
- 通过穿孔,使用Barraquer飞进行了ab externo循环透析.
- 状腺从膜分离到膜刺激.
- 膜和结膜/膜层用10-0尼龙线进行了关闭.
主要成果:
- 转换技术在患有先天性玻璃眼的患者中成功执行.
- 术后两个月,眼内压力降至16 mmHg.
- 没有需要低血压局部药物.
结论:
- 将复杂的带切除术转换为外部循环透析是一种可行的替代方案.
- 这种方法可以有效地管理外科手术期间与相关的并发症.
- 取得了良好的早期眼内压力控制.
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