内镜玻璃体切除术联合3D平视观察系统治疗外伤性眼损伤
Endoscopic Vitrectomy Combined with 3D Heads-Up Viewing System in Treating Traumatic Ocular Injury.
作者信息
Cheng Yuan-Shao, Hsiao Chung-Hao, Hsia Wei-Ping, Chen Hung-Ju, Chang Chia-Jen
机构信息
Department of Ophthalmology Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Optometry Central Taiwan University of Science and Technology, Taichung, Taiwan.
出版信息
J Ophthalmol. 2024 Jul 8;2024:9294165. doi: 10.1155/2024/9294165. eCollection 2024.
PURPOSE
To investigate effects and complications of endoscopic vitrectomy combined with 3D heads-up viewing system in treating traumatic ocular injury. . This is a retrospective interventional case series in a tertiary referral center in Taiwan, and we included patients of traumatic ocular injury, and they underwent endoscopic vitrectomy combined with a 3D heads-up viewing system.
RESULTS
Fourteen eyes of traumatic globe injury from 14 patients were studied over a 30-month period. Preoperative VA ranged from no light perception (NLP) to 6/6. Postoperative visual acuity improved in 11 of the 14 eyes (79%). Until 6 months after surgery, all eyes had attached retina. The median logMAR BCVA was 2.4 at the first visit and 1.19 at the last visit ( = 0.0028). No subject suffered from retinal detachment, endophthalmitis, or other severe complications.
CONCLUSIONS
Vitrectomy using endoscopy combined with 3D heads-up viewing system allowed early evaluation and intervention in traumatic ocular injuries. Most of our cases showed both anatomical and visual acuity improvements.
目的
探讨内镜玻璃体切除术联合3D平视观察系统治疗外伤性眼外伤的效果及并发症。 这是台湾一家三级转诊中心的回顾性干预病例系列研究，我们纳入了外伤性眼外伤患者，他们接受了内镜玻璃体切除术联合3D平视观察系统治疗。
结果
在30个月的时间里，对14例患者的14只外伤性眼球损伤眼进行了研究。术前视力从无光感（NLP）到6/6不等。14只眼中有11只（79%）术后视力得到改善。直到术后6个月，所有眼睛的视网膜均已附着。首次就诊时平均logMAR最佳矫正视力（BCVA）为2.4，最后一次就诊时为1.19（P = 0.0028）。没有患者发生视网膜脱离、眼内炎或其他严重并发症。
结论
使用内镜联合3D平视观察系统的玻璃体切除术能够对外伤性眼外伤进行早期评估和干预。我们的大多数病例在解剖结构和视力方面均有改善。
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