儿科面部神经麻的Periocular管理
Christina S Lim1, Catriona Neville2, Charles Nduka2
1From the Corneoplastic Unit (C.S.L., R.M.), Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex, UK.
American journal of ophthalmology
|June 22, 2025
概括
儿童面部神经麻会导致严重的眼睛问题. 外科干预,不包括tarsorrhaphy,改善了儿科患者的角膜健康和视力,罕见的synkinesis.
科学领域:
- 眼科医生 眼科 眼科
- 儿科手术 儿科手术
- 神经学 神经学
背景情况:
- 儿童面部神经麻 (FNP) 带来了重大治疗挑战,可能导致神经缩性角质病变和视力丧失.
- 现有的关于儿科FNP眼科特征和外科手术管理的文献,除了tarsorrhaphy,是有限的.
研究的目的:
- 描述FNP的眼科特征,这些特征是儿童群体中独有的.
- 为了评估儿童FNP的手术程序,不涉及tarsorrhaphy.
- 报告儿科FNP手术后患者的结果.
主要方法:
- 在一个专门的儿科眼科病房进行了9年的回顾性病例系列.
- 包括被诊断患有FNP的18岁以下的患者;审查了人口统计学,病因学,横向性和眼科发现的电子记录.
- 统计分析使用线性混合效应模型来评估治疗疗效.
主要成果:
- 分析了26名患有FNP的儿童 (29只眼睛);3名患有神经缩性角质病变.
- 在14名儿童中进行了眼外科手术 (升降器衰退,白金片段插入,MGI校正,FTSG,下眼升高);没有使用tarsorrhaphy.
- 在角膜,不对称性和动态功能 (CADS分数,P < .05) 中观察到显著改善;视力在79%的病例中保持或改善,神经营养皮质病变的显著改善.
结论:
- 角膜麻醉和上眼皮肤收缩在儿科FNP中很常见.
- 诸如升降器衰退和金段插入之类的手术技术有效地解决了斜眼,改善了眼睛表面和角膜的感觉,而无需刺.
- 儿童FNP管理没有tarsorrhaphy给出了有利的视觉结果和罕见的synkinesis.
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