在眼创伤中,透镜移位和视网膜损伤
Jiabei Zhou1, Xinqi Ma1, Fang Duan1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China.
Journal of ophthalmology
|October 30, 2024
概括
导致透镜脱位的眼创伤经常导致视网膜损伤,即使没有最初的迹象. 这些损伤的及时治疗对于视觉恢复至关重要,类似于没有这些损伤的病例.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
背景情况:
- 眼创伤可能导致透镜脱.
- 在这些情况下,视网膜损伤发生率和预后需要调查.
研究的目的:
- 确定视网膜损伤的发生率和预后,在患者眼创伤引起的透镜脱位.
- 为了确定这个患者队列中视网膜损伤的风险因素.
主要方法:
- 追溯分析了53名因眼镜脱位而经历了透镜切除和视镜切除的患者.
- 根据视网膜损伤的手术内发现,患者被分类.
- 在3个月的随访期间评估了临床特征和视觉结果.
主要成果:
- 在52.8%的患者中,在手术期间发现了视网膜损伤,主要是外围撕裂.
- 视网膜损伤的患者中,相比于亚脱位症的患者中,全镜头脱位更为常见.
- 两组患者在手术后的纠正距离视敏度 (CDVA) 显著改善,眼内压力 (IOP) 降低,没有显著的群体间差异.
结论:
- 由于重创伤导致透镜脱位的患者中,很大一部分在手术期间会出现视网膜损伤.
- 眼镜完全脱位是与视网膜损伤相关的危险因素.
- 视网膜损伤的及时治疗导致可比的视力敏度结果与没有这种损伤的人相比.
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