对于眼部症状的动脉干预后的神经眼科结果
Boshra Al Ibraheem1, Tiziano Tallarita1, Sasha A Mansukhani2
1Department of Vascular and Endovascular Surgery, Mayo Clinic Health System, Eau Claire, WI.
Journal of vascular surgery
|November 21, 2024
概括
对视觉症状的状动脉干预显示出有利的神经眼科结果,黄斑和眼睛缺血综合征 (OIS) 的复发率较低. 对OIS的早期干预可以缓解症状并预防视力丧失.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 血管外科 血管外科
背景情况:
- 对于视觉症状的动脉干预后的长期神经眼科结果尚不清楚.
- 结果根据视网膜缺血的病因而有很大差异.
研究的目的:
- 在患有手术前视觉症状的患者中,评估心血管干预后的神经眼科结果.
- 根据视网膜缺血的原因分析症状复发,视觉改善,中风率和存活率.
主要方法:
- 对90名因视网膜缺血而接受动脉干预的患者的回顾性审查 (2018年1月至2022年12月).
- 患者被分类为黄斑,眼睛缺血综合征 (OIS) 和视网膜动脉封闭组.
- 对临床细节,视觉症状和干预后结果的分析.
主要成果:
- 没有复发的视网膜缺血事件在阿莫洛斯流的组.
- 有过渡性症状的OIS组显示症状消失;永久性视力损失患者没有改善.
- 五年后的ipsilateral中风率为2%,五年生存率为82%.
- 由于支架血栓形成的一个术后死亡;没有长期的脑血管死亡率.
结论:
- Carotid 干预产生有利的神经眼科结果,视觉症状的复发率较低.
- 对OIS的早期干预可以导致症状的消失,并防止永久的视力丧失.
- 关节内关节切除术和支架都是有效的治疗选择.
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