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[经筛窦眼眶减压术治疗甲状腺相关眼病性视神经病变的疗效]

[Efficacy of transethmoidal orbital decompression in patients with dysthyroid optic neuropathy].

作者信息

Grusha Y O, Kochetkov P A, Ismailova D S, Svistushkin V M, Zhorzholadze N V, Spychak V Y

机构信息

Research Institute of Eye Diseases, Moscow, Russia.

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenovskiy University), Moscow, Russia.

出版信息

Vestn Otorinolaringol. 2020;85(6):52-55. doi: 10.17116/otorino20208506152.

Abstract

OBJECTIVES

To estimate efficacy and safety of endoscopic orbital decompression in patients with dysthyroid optic neuropathy (DON).

MATERIAL AND METHODS

19 patients aged 54.8±7.1 y.o. with DON were enrolled into the study.

RESULTS

Visual acuity was from counting fingers till 0.9 (0.4±0.28) before surgery, it increased till 0.7±0.2 (<0.05) after surgery. The amount of correct Ishihara plates increased from 5.8±7 till 13.3±7.6 (<0.05). Exophthalmos reduced by 1.7 mm (<0.05). Significant reduce of orbital inflammation was noted as well.

CONCLUSIONS

This study is the first study of this kind in Russian Federation. Obtained results showed high efficacy and safety of endoscopic orbital decompression in patients with DON.

摘要

目的

评估内镜下眼眶减压术治疗甲状腺相关性视神经病变(DON)患者的疗效和安全性。

材料与方法

19例年龄为54.8±7.1岁的DON患者纳入本研究。

结果

术前视力从指数到0.9(0.4±0.28),术后提高到0.7±0.2(<0.05)。石原氏色盲测试板正确识别数量从5.8±7增加到13.3±7.6(<0.05)。眼球突出度降低了1.7毫米(<0.05)。眼眶炎症也显著减轻。

结论

本研究是俄罗斯联邦首例此类研究。所得结果表明内镜下眼眶减压术治疗DON患者具有较高疗效和安全性。

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