在患有新血管玻璃眼的患者中,玻璃眼手术后的外科治疗结果包括视力改善
Ji Hyoung Chey1, Chang Kyu Lee1,2
1Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Heliyon
|April 16, 2024
概括
神经血管格劳科马 (NVG) 手术提供了改善的视觉预后和眼内压力 (IOP) 降低. 年龄较小,视力损失持续时间较短和视角开放是NVG患者成功治疗的关键因素.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 神经血管玻璃眼 (NVG) 对外科手术管理提出了独特的挑战.
- 确定预后因素对于优化NVG患者视觉结果至关重要.
研究的目的:
- 评估影响手术结果的预后因素,特别是视力敏度 (VA) 的改善,在新血管玻璃眼 (NVG) 患者的玻璃眼手术后.
- 为了确定在NVG中进行轨道切除术或艾哈迈德玻璃眼膜植入成功的预测因素.
主要方法:
- 对116名NVG患者 (116只眼睛) 进行了回顾性审查,这些患者接受了绿眼瘤手术.
- 主要结局:6个月的手术成功,通过眼内压力 (IOP) 降低 (≤21 mmHg,≥20%降低) 而没有进一步的干预或视力损失来定义.
- 成功被分类为完整 (有VA改进) 或合格 (没有VA改进).
主要成果:
- 6个月后,完全和合格的成功率分别为44.6%和92.2%.
- 与完全成功显著相关的因素包括年龄较小,更好的术前最佳纠正VA,减少VA的持续时间较短,以及非闭角状态.
- 多变量分析确定了年龄,减少VA的持续时间和360°闭角状态作为完全成功标准下手术失败的风险因素.
结论:
- 眼外科手术可以改善视觉预后,并在NVG患者中成功降低IOP.
- 在年轻的患者中,视力损失持续时间较短和非闭角状态较短的年轻患者更有可能获得有利的结果.
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