在接受帕斯普拉纳视切除术的患者中,在开放球体损伤后的眼睛高血压
Sam Karimaghaei1, Hytham Al-Hindi1, Muhammad Z Chauhan1
1Harvey and Bernice Jones Eye Institute, Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Clinical ophthalmology (Auckland, N.Z.)
|April 25, 2025
概括
这项研究发现,在开放球损伤的帕斯普拉纳视切除术 (PPV) 期间使用油显著增加患创伤后眼高血压 (OHT) 的风险. 在研究的队列中,OHT的发病率为34.69%.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
背景情况:
- 开放球损伤通常需要帕斯普拉纳视切除术 (PPV).
- 创伤后眼睛高血压 (OHT) 是眼睛创伤和手术后的潜在并发症.
- 鉴定PPV后OHT的风险因素对于患者管理至关重要.
研究的目的:
- 为了确定患有创伤后眼高血压 (OHT) 的发病率和危险因素,这些患者接受了因开放球损伤而进行的帕斯普拉纳视切除术 (PPV).
主要方法:
- 一项回顾性图表研究分析了2008年至2022年期间用PPV治疗的98名患有开放球损伤的患者的眼睛.
- 收集的数据包括手术细节,眼部创伤得分 (OTS) 和眼内压力 (IOP) 测量.
- 后勤回归被用来确定持续的OHTPPV后的预测因素.
主要成果:
- 34.69%的患者在PPV后出现持续性眼高血压 (OHT).
- 在PPV期间使用油是发展OHT (OR 5.63) 的重要预测因素.
- 在性,年龄,OTS,损伤类型或OHT和正常压力组之间的最终视力敏度方面没有发现显著差异.
结论:
- 在这个队列中,OHT的发病率为34.69%,略高于之前报告的.
- 在PPV中使用油是术后眼睛高血压的强有力的预测因素.
- 进一步的研究可能会探索在需要油吸管的患者中减轻OHT风险的策略.
相关概念视频
Glaucoma: Overview
470
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...
470
Angle Closure Glaucoma: Treatment
374
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...
374
Open Angle Glaucoma: Treatment
358
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...
358
Photoreceptors and Visual Pathways
5.5K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
5.5K


