微切口视内切除术的广泛采用改善了最初视力不佳的内源性内眼炎的视觉结果:台湾21年的经验
Shih-Chou Chen1,2, Tsung-Tien Wu1,3, Chun-Hao Yin4,5,6
1Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Ocular immunology and inflammation
|May 1, 2024
概括
微切口玻璃切除手术 (MIVS) 改善了内源性内眼炎患者视力不佳的视觉结果. 这种技术增加了玻璃切除术率,并提高了台湾三级医院在21年内最终的视力敏度.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 内源性内眼炎是一种严重的眼内感染.
- 确定预后因素对于患者管理至关重要.
- 引入微切口玻璃切除手术 (MIVS) 可能会影响治疗结果.
研究的目的:
- 审查内源性内炎患者的表现和视觉预后因素.
- 为了比较MIVS引入前后的结果.
- 评估MIVS对台湾一家三级转诊医院21年视觉预后的影响.
主要方法:
- 追溯分析2002年1月至2022年12月的医疗记录.
- 包括147名被诊断患有内源性内耳炎的患者.
- 收集有关患者人口统计,并发症,感染源,病原体,治疗方法和视力敏度结果的数据.
主要成果:
- 糖尿病和初始视觉敏度差 (比指数更差) 与视觉结果差有关.
- 在MIVS引入后,初始视力敏度较差的患者的玻璃切除手术比例显著增加 (23.2%至57.1%).
- 在MIVS (12.5%至28.6%) 后,数指或更好的最终视觉敏度显著改善.
结论:
- 玻璃切除术是内源性内眼炎患者最初视力不佳的最终视觉结果的显著积极预后因素.
- 在这些患者中,MIVS促进了玻璃切除术率的增加.
- 显而易见地,MIVS在内源性内耳炎中改善了视觉结果.
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