[上皮膜:诊断,适应症和手术治疗]
Jakob Holzwarth1, Tim U Krohne2, Albrecht Lommatzsch3
1Augenklinik, Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen am Rhein, Deutschland.
Die Ophthalmologie
|June 3, 2024
概括
移除视网膜 (ERM) 的手术显著改善视力,并减少大多数患者的视觉扭曲. 患者对康复和潜在的持续症状的教育对于管理这种常见的黄斑状况后的期望至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 手术干预 手术干预
背景情况:
- 视网膜膜 (ERM) 是一个常见的黄斑状况.
- 它可能会导致视力障碍和变形.
- ERM是由玻璃细胞界面的细胞变化引起的,无论是异常发病的还是其他疾病的继发性.
研究的目的:
- 概述ERM的诊断和手术指示.
- 描述首选的外科治疗及其结果.
- 突出影响ERM手术后预后的因素.
主要方法:
- 诊断评估包括视力敏度,变形眼评估,眼镜镜和光学连贯性断层扫描 (OCT).
- 手术治疗包括帕斯普拉纳视切除术 (PPV) 与ERM和内部限制膜 (ILM) 剥离.
- 预测因素,主要是基于OCT,用于预测功能预后.
主要成果:
- 症状患者可以从带有ERM/ILM剥离的PPV中受益.
- 大约三分之二的患者经历了视力敏度的改善或视力转化症的减少.
- 手术后的预后通常非常好.
结论:
- 手术干预是症状ERM的首选治疗方法.
- 成功切除膜可以为许多患者提供显著的视觉改善.
- 患者对康复和潜在的持续症状的教育至关重要.
相关概念视频
Clinical Applications of Epidermal Stem Cells
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own EpiSCs...
Skin Diseases and Disorders
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Skin Cancer
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...


