在Graves轨道病的骨轨道减压后的大脑和视神经的并发症. 一个系统的审查
Antonio A V Cruz1, Victória H S Rocha1, Marcelo M Peres1
1Department of Ophthalmology, School of Medicine of Ribeirão Preto, Clinical Hospital of Ribeirão Preto - University of São Paulo, Ribeirao Preto, Brazil.
Orbit (Amsterdam, Netherlands)
|May 28, 2025
概括
对于Graves轨道病的轨道压缩可以导致脑脊液泄漏,神经问题和视力丧失. 仔细的手术规划,特别是放射性重建,对于尽量减少这些主要并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 内分泌学 在内分泌学.
背景情况:
- 格雷夫斯轨道病是一种影响眼的自身免疫性疾病.
- 轨道减压手术是为了减轻轨道内压力和改善眼睛功能而进行的.
- 严重的并发症,虽然很少见,但可以显著影响患者的结果.
研究的目的:
- 系统地审查轨道减压的主要并发症.
- 介绍三个新的未发表的轨道减压并发症病例.
- 为了确定影响并发症率的外科手术因素.
主要方法:
- 对PubMed和Embase数据库的系统文献综述 (关键词:"轨道减压",Graves,甲状腺眼病).
- 包括到2025年1月出版的英语,西班牙语和法语文章.
- 在巴西一家教学医院对34年的 (1990-2024) 格雷夫斯轨道病患者记录进行了审查.
主要成果:
- 脑脊髓液泄漏报告在中间和侧面减压的1.0%-2.0%中.
- 在14篇文章中记录了严重的神经学副作用,主要是在介质减压过程中.
- 在轨道减压后的失明在九篇论文中被确定为多因素事件.
结论:
- 对重大并发症的详细外科因素需要进一步讨论.
- 多平面放射性重建至关重要,以防止介质解压过程中的内并发症.
- 仔细控制出血和避免长期暴露,可以最大限度地降低深度横向减压的风险.
相关概念视频
Glaucoma: Overview
1.3K
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...
1.3K
Open Angle Glaucoma: Treatment
963
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...
963
Angle Closure Glaucoma: Treatment
1.2K
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...
1.2K


