双边同时发生的质性视网膜脱离的管理和结果
Omar B Saeed1, Muhammad Hassan2,3, Dan M Miller2,3
1Kettering Health Dayton, Dayton, OH, USA.
Journal of vitreoretinal diseases
|December 29, 2025
概括
管理双边并发性风湿性视网膜脱落 (RRD) 需要考虑症状持续时间和慢性,而不仅仅是斑点状况. 优先考虑急性表现可能会改善RRD患者的视觉结果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
背景情况:
- 双边并发性风湿性视网膜脱落 (RRD) 提出了独特的管理挑战.
- 当前的手术时间和顺序通常严重依赖于黄斑状况.
研究的目的:
- 评估一种修改后的方法来管理双边同时运行的RRD.
- 以指导基于超出黄斑状况的因素的外科手术时间和序列.
主要方法:
- 对47名双边同时发生RRD的患者进行了回顾性审查.
- 根据黄斑状况分组患者:两个附着 (AA),两个脱离 (DD),或一个附着/一个脱离 (DA).
- 队列DA根据外科手术顺序进一步划分:分离的眼睛首先 (3D) 或附着的眼睛首先 (3A).
主要成果:
- 在AA和DD队列中,第一眼和第二眼之间视敏度 (VA) 没有显著差异.
- 在DA队列中,首先对斑点脱离的眼睛进行手术,可以获得明显更好的视觉结果 (0.5对0.9,P=.03).
- 首次手术的眼睛往往表现出更多的症状,较少的慢性症状或较大的脱落.
结论:
- 双边同时RRD经常表现出慢性特征.
- 对于RRD的手术决定应纳入症状持续时间和慢性病的临床指标.
- 优先考虑急性表现的眼睛可能会提高RRD管理中的视觉结果.
相关概念视频
Glaucoma: Overview
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...
Open Angle Glaucoma: Treatment
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...
Angle Closure Glaucoma: Treatment
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...


