伪发性水性误导综合征的治疗方法
Joel-Benjamin Lincke1, Nathanael Häner2, Megir Schawkat2
1Department of Ophthalmology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland. joel.lincke@insel.ch.
Scientific reports
|January 9, 2025
概括
伪白内障水性误导综合征 (AMS) 是白内障手术后的一种罕见并发症. 帕斯普拉纳玻璃切除术与虹膜-区域切除术通常是管理这种情况的必要,尽管可能首先尝试激光虹膜切除术.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 视光眼的管理 视光眼的管理
背景情况:
- 伪白内障水性误导综合征 (AMS) 是白内障手术后的罕见但严重的并发症.
- 这种情况可以在最初的手术后多年表现出来,导致眼内压力升高 (IOP).
研究的目的:
- 描述被诊断为伪发性AMS的患者的管理策略和临床结果.
- 为了评估这种特殊的眼科疾病的不同治疗方法的疗效.
主要方法:
- 在2021年至2022年间,对12名被诊断患有伪性AMS的患者的12只眼睛进行了回顾性分析.
- 评估包括最佳校正的视敏度,折射,内压,药物使用,SD-OCT成像和术后并发症.
- 评估的治疗包括IOP降低药物,激光虹膜切除术 (LIT) 和带有虹膜-带膜切除术的帕斯普拉纳玻璃切除术.
主要成果:
- 在白内障手术后,AMS的平均发病时间为888天.
- 在所有情况下,单独使用降压药物是不够的.
- 激光虹膜切除术在4只眼睛中的3只眼睛中解决了AMS,而9只眼睛需要帕斯普拉纳玻璃切除术与虹膜-带膜切除术来控制IOP.
- 囊性黄斑 (CME) 是最常见的术后并发症 (30%).
结论:
- 伪性AMS是白内障手术的延迟和显著并发症.
- 虽然LIT可以作为一线治疗,但为了有效的IOP管理,经常需要与虹膜-带膜切除术一起进行帕斯普拉纳玻璃切除术.
- 对于AMS而言,CME是玻璃切除术后的一个显著并发症.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
434
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...
434
01:27Open Angle Glaucoma: Treatment
391
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
391
01:25Glaucoma: Overview
502
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...
502