Al-Wassiti Ahmed Shakir Ali, Kumar Danisha, Elboraay Toka, Ismail Mustafa
Department of Surgery, University of Baghdad, College of Medicine, Al Risafa, Baghdad, Iraq.
Department of Neurosurgery, Dow University of Health Sciences, Karachi, Pakistan.
Surg Neurol Int. 2024 Jul 26;15:258. doi: 10.25259/SNI_368_2024. eCollection 2024.
Orbital varices are vein dilations in the orbit presenting various symptoms. This scoping review synthesizes existing evidence on their epidemiology, clinical features, and treatment efficacy.
Literature was reviewed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed and Scopus were searched until April 31, 2024, for articles on clinically diagnosed ocular varices detailing diagnostic methods, treatments, and outcomes. Exclusions were reviews, animal studies, and incomplete case reports. Data on study characteristics, diagnosis, management, and outcomes were extracted and assessed for quality and bias.
Eight studies met the inclusion criteria, with sample sizes ranging from 4 to 30 and ages from 1 to 87 years. Diagnostic tools included magnetic resonance imaging and computed tomography, while treatments ranged from conservative methods to invasive procedures and radiosurgery. Notably, higher symptom resolution rates were associated with observational strategies and minimally invasive surgeries. However, Gamma Knife radiosurgery, although promising, posed risks of vision impairment in some cases.
The management of orbital varices has evolved significantly with newer, less invasive techniques improving outcomes and reducing recovery times. Despite advancements, challenges such as disease recurrence and the need for personalized treatment regimens persist, underscoring the ongoing need for research to refine and standardize treatment approaches.
眼眶静脉曲张是眼眶内静脉扩张，可呈现多种症状。本综述综合了关于其流行病学、临床特征及治疗效果的现有证据。
按照系统评价与Meta分析的首选报告项目指南对文献进行综述。检索了PubMed和Scopus数据库，直至2024年4月31日，查找关于临床诊断眼眶静脉曲张的文章，详细了解诊断方法、治疗及结果。排除综述、动物研究和不完整的病例报告。提取关于研究特征、诊断、管理及结果的数据，并评估其质量和偏倚。
八项研究符合纳入标准，样本量从4到30不等，年龄从1岁到87岁。诊断工具包括磁共振成像和计算机断层扫描，治疗方法从保守治疗到侵入性手术及放射外科手术。值得注意的是，观察策略和微创手术的症状缓解率更高。然而，伽玛刀放射外科手术虽有前景，但在某些情况下存在视力损害风险。
随着更新的、侵入性较小的技术改善了治疗效果并缩短了恢复时间，眼眶静脉曲张的管理有了显著进展。尽管取得了进步，但疾病复发和个性化治疗方案需求等挑战依然存在，这突出表明持续需要开展研究以完善和规范治疗方法。
