通过内镜玻璃切除术与Hyaloido-Zonulo-Iridectomy进行水性误导的外科治疗
Tan Do1,2, Ha Thi Thu Pham3, Andrea Servillo4,5
1Vietnam National Eye Hospital, Hanoi, Vietnam. dotan20042005@yahoo.com.
带有hyaloido-zonulo-iridectomy的内镜帕斯普拉纳视切除术有效治疗眼内手术后的水性误导 (AM). 这种安全的手术方法显著改善了眼内压力和视力敏度,成功率高,没有观察到复发.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 视光眼管理 视光眼管理
背景情况:
- 水性误导 (AM) 是眼内外科手术后的一种严重并发症,通常耐常规治疗.
- 有效的管理策略对于预防视力丧失和恢复眼睛平衡至关重要.
研究的目的:
- 为了评估内镜的有效性和安全性,Pars plana vitrectomy结合hyaloido-zonulo-iridectomy用于治疗AM.
- 评估包括眼内压力 (IOP),视力敏度,前腔深度和手术成功率在内的关键结果.
主要方法:
- 一项前性,纵向性研究,涉及53只眼睛与AM耐药的医疗/激光治疗.
- 所有患者都接受了透镜切除 (如果适用),内镜帕斯普拉纳视切除术和化-化-化切除术.
- 测量的主要结果包括内视压力,最佳校正视敏度 (BCVA),前腔深度 (ACD),并发症和手术成功.
主要成果:
- 在12个月内,IOP从34.36±0.82 mmHg显著减少到17.47±0.82 mmHg (p<0.001).
- BCVA从1.50±0.07改善到0.70±0.07 logMAR,而ACD从0.70±0.06 mm增加到3.34±0.06 mm. 这也使得BCVA从1.50±0.07改善到0.70±0.07 logMAR,而ACD从0.70±0.06 mm增加到3.34±0.06 mm.
- 整体手术成功率为98.1% (IOP ≤21 mmHg) 或75.5% (IOP ≤18 mmHg),所有眼睛的前腔彻底改造. 没有复发发生.
结论:
- 透镜帕斯普拉纳切除术与化-化-化切除术是AM的高效治疗方法.
- 该程序表现出良好的安全性,大多数并发症都是暂时的,可以管理的.
- 这种手术技术为耐火AM患者的IOP控制和视觉结果提供了显著的改善.
更多相关视频
04:30Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
Published on: August 25, 2022
09:07Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Urinary Tract Calculi VI: Surgical Management
Chemical Reactions in Aqueous Solutions
Aqueous Solutions and Heats of Hydration
When ionic compounds dissolve in water, the ions in the solid separate and disperse uniformly throughout the solution because water molecules surround and solvate the ions, reducing the strong electrostatic forces between them. This process...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
