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在玻璃眼瘤手术中使用Ex-PRESS®植入物进行手术内光学连贯性断层扫描
Irene Platas Moreno1, Laura Guerrero Altares1, M Pilar Martin-Gutierrez1
1Department of Ophthalmology, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain.
European journal of ophthalmology
|May 20, 2025
概括
术内光学相干断层扫描 (i-OCT) 有助于精确的Ex-PRESS玻璃眼植入物放置,特别是在复杂的情况下. 这项技术确保了准确的定位,并避免了手术期间的透镜接触.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 视光眼管理 视光眼管理
背景情况:
- 颜色格劳科马可以在医疗管理下进展.
- 使用像Ex-PRESSshunt这样的植入物进行过手术是晚期玻璃眼的选择.
- 发病患者需要谨慎的外科手术技术,以防止透镜并发症.
研究的目的:
- 为了证明手术内光学相干断层扫描 (i-OCT) 对准确的Ex-PRESS玻璃眼植入物放置的实用性.
- 在Ex-PRESS玻璃眼植入程序期间报告i-OCT的首次使用.
- 突出i-OCT在确保正确的设备定位和避免眼镜接触方面发挥的作用.
主要方法:
- 一个病例报告,是一名48岁的法奇男性,患有晚期双侧色素格劳科马.
- 在左眼中手术植入P-50 Ex-PRESS冲刺器和Ologen原蛋白矩阵植入物.
- 使用与OPMI LUMERA 700显微镜集成的i-OCT设备实时确认子器装置的放置.
主要成果:
- i-OCT证实了Ex-PRESS冲刺器和Ologen植入物正确的脑下部位.
- 这种手术成功地在一个发病的患者身上进行,避免了透镜接触.
- i-OCT扫描和视频录制记录了整个手术过程.
结论:
- i-OCT对于确认Ex-PRESS植入物放置非常有价值,特别是在介质不透明的情况下 (例如,角膜不透明,日光毒素) 或在发病患者中.
- 这项技术通过实时可视化植入物相对于眼部结构的位置来提高外科准确性和安全性.
- i-OCT作为一个有益的工具,用于培训眼科医生在格劳科马植入物手术.
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