失明疼痛眼的处理

Management of a blind painful eye.

作者信息

Merbs Shannath L

机构信息

Wilmer Eye Institute, 600 North Wolfe Street, Maumenee 505, Baltimore, MD 21287, USA.

出版信息

Ophthalmol Clin North Am. 2006 Jun;19(2):287-92. doi: 10.1016/j.ohc.2006.02.010.

DOI:10.1016/j.ohc.2006.02.010

PMID:16701166

Abstract

Debilitating ocular pain poses a significant challenge to the ophthalmologist. When the pain is intractable and the eye has very poor vision and is disfigured, surgical removal of the eye has traditionally been the definitive treatment of choice. Because many people are uncomfortable psychologically with removal of their eye, however painful, and other patients are not good surgical candidates, an alternative to enucleation is sometimes warranted, and injection of a neurolytic substance can often induce long-lasting anesthesia for a blind painful eye. This article reviews a range of options for management of blind painful eye from anesthesia to enucleation.

摘要

使人衰弱的眼痛给眼科医生带来了重大挑战。当疼痛难以控制，且眼睛视力极差且外观受损时，传统上手术摘除眼球一直是最终的治疗选择。然而，由于许多人在心理上对摘除眼球感到不适，无论多么痛苦，而且其他患者并非手术的合适人选，有时有必要采用眼球摘除术的替代方法，注射神经溶解剂通常可以为失明且疼痛的眼睛诱导持久的麻醉。本文综述了从麻醉到眼球摘除术等一系列治疗失明且疼痛眼睛的方法。