在患有单眼盲症的患者中,内镜内外转切除垂体腺瘤
David Gomez1, Stephanie Cheok1, Jeffrey J Feng1,2
1Department of Neurosurgery, USC Brain Tumor Center, Keck School of Medicine of the University of Southern California, Los Angeles , California , USA.
Operative neurosurgery (Hagerstown, Md.)
|June 13, 2024
概括
内透视内透视透视 (EETA) 方法对于具有单眼失明的垂体腺瘤 (PA) 是安全的,大多数患者保持视力. 一小部分患者的视力有所改善,特别是当视力丧失后10天内进行手术时.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
背景情况:
- 细胞上瘤,特别是垂体腺瘤 (PAs),经常导致视力下降.
- 视觉器官减压的标准是内内透式方法 (EETA).
- 手术前完全单眼失明的患者代表了进一步视力丧失的高风险组.
研究的目的:
- 为了评估PAS患者单眼失明的EETA的结果.
- 评估EETA在这个特定高风险患者小组中的安全性和有效性.
主要方法:
- 对于2012年6月至2023年8月的PAs的EETA案件的回顾性分析.
- 纳入标准:患有PAS和完全单眼失明的成年人 (没有光感知,相对 afferent瞳孔缺陷).
主要成果:
- 分析了15名患有PAS和单眼失明的患者 (2.4%的PA队列).
- 平均瘤直径为3.8厘米;6个是巨大的PA (>4厘米).
- 2名患者失明眼的改善,2名患者对侧眼的改善;改善与10天内手术有关;视力没有恶化.
结论:
- 在单眼失明患者中,EETA是安全的管理PA.
- 大多数患者的视力保持稳定;改善发生在小部分人群中.
- 及时的手术干预似乎对潜在的视力恢复至关重要.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
473
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...
473
01:25Glaucoma: Overview
541
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...
541