外部开放的结膜XEN 63微米:一种新的外科替代方案在乌维性玻璃眼-一个病例报告
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Updated: May 15, 2025
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
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Yann Bertolani1, Júlia Angrill-Valls2, Laura Sánchez-Vela2
1Department of Ophthalmology, Vall d'Hebron University Hospital, Passeig de la Vall d'Hebron 129, Barcelona, 08035, Spain. bertolanifournieryann@gmail.com.
Journal of ophthalmic inflammation and infection
|April 10, 2025
概括
该XEN凝支架提供了安全有效的替代方案,用于管理乌维性玻璃眼,一个具有挑战性的条件. 这种微创手术在年轻的患者身上显示出积极的结果,避免了传统手术所见的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 手术创新 在外科创新.
背景情况:
- 乌维特格劳科马在临床和治疗方面面临着重大挑战.
- 传统的玻璃眼外科手术,如带切除术,可能会导致严重的并发症,包括低压性黄斑病变和解压性视网膜病变.
研究的目的:
- 评估在患有复发性脑膜绿眼的患者身上使用ab externo开放连接膜XEN 63微米凝支架的疗效和安全性.
- 提出一种新的手术方法来管理复杂的玻璃眼病例.
主要方法:
- 一份病例报告详细介绍了一名15岁的双边紫外线绿内障患者.
- 患者在右眼的带切除术后出现并发症后,在左眼中进行了ab externo开放连接眼XEN 63μm凝支架植入.
- 手术后的管理包括使用类固醇节约的阿达利穆马布,并定期对前部段OCT成像进行随访.
主要成果:
- XEN凝支架手术在没有术后并发症的情况下进行.
- 一年后的随访表明,眼内压力 (11 mmHg) 得到了良好控制,并且玻璃眼损伤没有进展.
- 前一段的OCT证实了一个运作良好的,非封装的blb.
- 手术后没有观察到任何复发性脑膜炎发作.
结论:
- 外部开放的结膜XEN 63微米凝支架是有效和安全的管理乌维性玻璃眼.
- 这种技术为传统手术提供了一个有希望的替代方案,有可能降低严重的术后并发症的风险.
- 这一案例凸显了XEN支架在复杂的玻璃眼病例中对常规治疗不耐用的实用性.
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