在严重的开放眼球损伤后,没有光感觉的眼球多阶段重建手术
Lyubomyr M Lytvynchuk1,2, Makar Ponomarov1, Erick Carlos Reyna1
1Department of Ophthalmology, University Hospital Giessen and Marburg GmbH, Campus Giessen, Justus-Liebig-University Giessen, Giessen, 35392, Germany.
Clinical ophthalmology (Auckland, N.Z.)
|March 17, 2025
概括
多阶段重建性手术可以在没有光感知 (NLP) 的严重开放球损伤 (OGI) 后挽救眼睛. 经验丰富的外科医生的早期干预可以改善解剖和功能结果,防止核分裂.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 严重的开放球损伤 (OGI) 往往导致没有光感知 (NLP),这对眼睛的挽救构成了重大挑战.
- 重建性手术旨在在严重创伤后恢复眼睛的完整性和功能.
研究的目的:
- 评估多阶段重建性手术的视觉和解剖结果,用于严重的开放球损伤后没有光感知的眼睛.
- 评估手术干预在预防核分裂和改善眼部结果方面的有效性.
主要方法:
- 重度OGI和NLP患者的回顾性连续病例系列.
- 对流行病学数据,损伤特征,手术时间和类型以及解剖/功能结果的分析.
- 审查2016年2月至2021年3月期间的医疗记录.
主要成果:
- 9名患者接受了多阶段的重建性手术;平均随访时间为24个月.
- 最初的功能增益显著 (p<0.005),但在最后的随访时没有持续.
- 85.7% (6/7) 实现了视网膜重新连接,其中83.33% (5/6) 需要油;在所有情况下都避免了脱核.
结论:
- 多阶段重建性手术在挽救严重OGI和NLP的眼睛方面是有效的.
- 经验丰富的外科医生的早期手术干预可以改善解剖和功能条件,保护眼球.
- 这种方法在所有接受治疗的患者中成功地预防了初级核分裂.
更多相关视频
14:58A Simplified Technique for In situ Excision of Cornea and Evisceration of Retinal Tissue from Human Ocular Globe
Published on: June 12, 2012
20.8K
13:12Partial Optic Nerve Transection in Rats: A Model Established with a New Operative Approach to Assess Secondary Degeneration of Retinal Ganglion Cells
Published on: October 15, 2017
11.2K
相关概念视频
Glaucoma: Overview
488
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...
488
Angle Closure Glaucoma: Treatment
420
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...
420
