辐射引起的眼排水障碍:管理和结果
Nandini Bothra1, Lisa Y Lin2, Michael K Yoon2
1Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.
Seminars in ophthalmology
|July 14, 2024
概括
辐射诱导获得的眼管阻塞 (RALDO) 管理表明,输管治疗的结果不佳. 使用斯管的结合性-乳囊鼻术 (C-DCR) 提供了更好的结果,而乳囊鼻术 (DCR) 对鼻管阻塞 (NLDO) 有效.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜塑料是一种眼镜塑料.
- 辐射瘤学 辐射瘤学
背景情况:
- 头癌的放射治疗可能导致获得的眼管阻塞 (RALDO).
- 拉尔多可以引起显著的,并影响患者的生活质量.
研究的目的:
- 评估患有辐射诱导的眼道阻塞 (RALDO) 的患者的治疗策略和临床结果.
主要方法:
- 在2018年7月至2023年12月期间,对RALDO进行手术的16名患者 (17只眼睛) 的回顾性图表审查.
- 数据包括患者人口统计,瘤特征,辐射细节,症状发作,检查结果和治疗结果.
- 在所有病例中都进行了手术前的眼灌.
主要成果:
- 患者的平均年龄为63.3岁,其中76.4%涉及左眼排水系统.
- 常见的阻塞包括近道眼 (8只眼睛) 和鼻眼管 (3只眼睛).
- 用斯管进行的结合性乳腺细胞结节术 (C-DCR) 导致长症有67%的改善,而外部乳腺细胞结节术 (DCR) 对NLDO显示出良好结果.
结论:
- 催输管是RALDO的无效救援治疗方法.
- 使用斯管的C-DCR为RALDO提供了改善的,虽然不完美的,结果.
- 外部DCR是放射二次性鼻液管阻塞的成功治疗方法.
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