甲状腺眼病中的角膜衰竭:十年来呈现和结果
Prasansha Narnoli1, Suryasnata Rath1, Devjyoti Tripathy1
1Department of Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery Service, L.V. Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian journal of ophthalmology
|March 27, 2025
概括
包括手术和药物在内的多式管理对于治疗甲状腺眼病 (TED) 中的角膜衰竭至关重要. 这种方法显著改善视力,甚至在严重的情况下,也实现了高的全球救援率.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 角膜外科手术 角膜外科手术
背景情况:
- 角膜衰竭是甲状腺眼病 (TED) 中视力威胁的紧急情况.
- 迅速和全面的管理对于维护视力和眼睛完整性至关重要.
研究的目的:
- 评估TED患者角膜衰竭多模式管理策略的结果.
- 评估干预措施对视觉敏度,亡和地球救援率的影响.
主要方法:
- 对连续出现角膜衰竭的TED患者的回顾性审计 (2011年11月 - 2023年5月).
- 主要结局:最佳校正视力敏度 (BCVA). 二次结局:质,临床活动得分 (CAS),地球救援.
- 分析轨道减压和医疗管理后的结果.
主要成果:
- 分析了35名TED患者 (50只眼睛),他们的角膜损伤从表面角膜病变到带有穿孔的微生物角膜炎.
- 轨道减压显著改善了BCVA (1.2到0.7) 和减少了proptosis (25.4到20.7毫米).
- 总体而言,88%的眼睛实现了全球救援;严重的穿孔病例显示出明显的视力和全球救援与多式联络护理.
结论:
- 快速和密集的多式联络管理对于角膜崩至关重要.
- 这包括局部/全身药物,眼手术和轨道减压.
- 多式疗法产生高视力和地球回收率,特别是在严重的角膜并发症.
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