经外科手术后的冠状腺上出血及其手术治疗:一个系统的审查
Margarida Ribeiro1,2, David Matos Monteiro3, Ana Filipa Moleiro4,5
1Department of Ophthalmology, Unidade Local de Saúde de São João, Alameda Prof. Hernâni Monteiro, Porto, 4200-319, Portugal. margarida.ribeiro.guimaraes@gmail.com.
International journal of retina and vitreous
|August 21, 2024
概括
在外科手术期间的上出血 (SCH) 管理缺乏标准化. 及时诊断和治疗对于改善视觉结果至关重要,这种视力威胁的眼内外科手术并发症.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 视网膜疾病 视网膜疾病
背景情况:
- 超角质出血 (SCH) 是眼内外科手术的一种罕见,严重的并发症.
- 围绕手术的SCH的管理策略尚未标准化,仍在争论中.
研究的目的:
- 系统地审查手术期间SCH的外科治疗选择.
- 描述各种技术及其相关的视觉结果.
主要方法:
- 在MEDLINE (PubMed) 和Scopus (2011-2022) 的系统文献搜索.
- 纳入标准:与眼内外科手术相关的SCH成年患者.
- 评估了38项研究 (393名患者/眼睛),包括队列研究,病例系列和病例报告.
主要成果:
- 审查了急性和延迟的SCH病例,在诊断后长达120天内接受治疗.
- 最初的视力敏度往往很差,最终结果变化不定.
- 手术技巧包括外部排水,帕斯普拉纳视切除术 (PPV),内,前腔维护器和复合组织等离子体激活剂的使用.
结论:
- 这是第一次对外科手术期间SCH手术管理进行系统审查.
- 没有标准化的外科手术方法存在,并且缺乏纵向研究.
- 及时诊断和治疗对于最佳的视觉结果至关重要;需要进一步的研究.
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