轨道洞穴静脉形外形切除后视力损失的危险因素:系统性审查
James Pietris1,2, Clare Quigley2,3, Alkis James Psaltis4
1School of Medicine, The University of Adelaide, Adelaide, South Australia, Australia james.pietris@gmail.com.
The British journal of ophthalmology
|January 30, 2025
概括
轨道腔静脉形 (OCVMs) 手术存在风险. 识别瘤位置和视神经参与等因素可以帮助预防OCVM切除期间的视力损失.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 血管外科 血管外科
背景情况:
- 轨道腔静脉形 (OCVMs) 是常见的轨道质量,通过质量效应引起症状.
- 手术切除OCVM具有挑战性,视力丧失是一种罕见但严重的并发症.
研究的目的:
- 为了确定与OCVM切除过程中视力损失相关的风险因素.
主要方法:
- 在2024年5月之前对PubMed/MEDLINE,Embase和CENTRAL数据库进行系统审查.
- 对16篇文章的分析包括遵循PRISMA指南的文章.
主要成果:
- 顶部位置和对视神经的坚持增加了视力损失的风险.
- 手术前的视力丧失,外向瞳孔缺陷,视觉盘问题和胸腔纹表明预后不佳.
- 在手术期间的因素,如长时间的血管处理,视神经的伸缩和低透静血压是危险的. 中央视网膜动脉封闭是视力丧失的最常见原因.
结论:
- 几种因素预测OCVM切除后视力不佳的结果.
- 手术和麻醉团队必须意识到这些风险,并适应管理.
- 需要进一步的前性研究来制定管理准则.
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