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导航引导下的视神经管减压术治疗外伤性视神经病变:两例病例报告。

Navigation-guided optic canal decompression for traumatic optic neuropathy: Two case reports.

机构信息

Department of Orbit, Ophthalmic Plastic and Reconstructive Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

Department of Ocular Trauma and Vitreo-Retina Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

出版信息

Indian J Ophthalmol. 2018 Jun;66(6):879-882. doi: 10.4103/ijo.IJO_1167_17.

DOI:10.4103/ijo.IJO_1167_17
PMID:29786012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5989526/
Abstract

Two cases of traumatic optic neuropathy presented with profound loss of vision. Both cases received a course of intravenous corticosteroids elsewhere but did not improve. They underwent Navigation guided optic canal decompression via external transcaruncular approach, following which both cases showed visual improvement. Postoperative Visual Evoked Potential and optical coherence technology of Retinal nerve fibre layer showed improvement. These case reports emphasize on the role of stereotactic navigation technology for optic canal decompression in cases of traumatic optic neuropathy.

摘要

两例外伤性视神经病变患者表现为严重视力丧失。这两例患者均在其他地方接受了一个疗程的静脉内皮质类固醇治疗,但没有改善。他们通过经外眦入路导航引导的视神经管减压术治疗,术后视力均有改善。术后视觉诱发电位和视网膜神经纤维层光学相干技术显示有所改善。这些病例报告强调了立体定向导航技术在外伤性视神经病变患者视神经管减压中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/1c1bf37a3594/IJO-66-879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/ae866423ab1a/IJO-66-879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/3eea12e7e5d7/IJO-66-879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/1c1bf37a3594/IJO-66-879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/ae866423ab1a/IJO-66-879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/3eea12e7e5d7/IJO-66-879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bcb/5989526/1c1bf37a3594/IJO-66-879-g003.jpg

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Response to comment on: Evaluation of retinal nerve fiber layer thickness after optic canal decompression.

本文引用的文献

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2
Interactive navigation-guided ophthalmic plastic surgery: assessment of optical versus electromagnetic modes and role of dynamic reference frame location using navigation-enabled human skulls.交互式导航引导的眼科整形手术:使用配备导航功能的人类颅骨评估光学与电磁模式以及动态参考框架位置的作用。
Clin Ophthalmol. 2016 Nov 25;10:2383-2390. doi: 10.2147/OPTH.S118079. eCollection 2016.
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Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome.
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Indian J Ophthalmol. 2018 Nov;66(11):1659-1660. doi: 10.4103/ijo.IJO_1194_18.
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Comment on: Evaluation of retinal nerve fiber layer thickness after optic canal decompression.关于《视神经管减压术后视网膜神经纤维层厚度的评估》的评论
Indian J Ophthalmol. 2018 Nov;66(11):1658-1659. doi: 10.4103/ijo.IJO_876_18.
外伤性视神经病变中视神经管骨折的发生率及其对视力预后的影响。
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Orbit-associated tumors: navigation and control of resection using intraoperative computed tomography.眼眶相关肿瘤:术中计算机断层扫描引导下的手术切除导航与控制
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