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显著玻璃体混浊的处理。

Management of Visually Significant Vitreous Opacities.

机构信息

Starting ophthalmology residency, University of Missouri - Kansas City School of Medicine.

University of Kansas School of Medicine and the Kansas City VA Medical Center, Kansas City, Missouri.

出版信息

Mo Med. 2024 Sep-Oct;121(5):391-394.

PMID:39421475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11482840/
Abstract

Visual floaters can significantly affect quality of vision. Although these opacities are visible on ophthalmoscopy, objectively measuring severity has been difficult. The standard approach has been to monitor individuals for complications rather than treating the floaters. With advances in surgical instrumentation and techniques, ophthalmologists have multiple options for treating visually significant floaters, most commonly pars plana vitrectomy and laser vitreolysis. This article aims to review the literature discussing methods for diagnosing and treating floaters.

摘要

眼前有漂浮物会明显影响视力。虽然这些混浊物在检眼镜下可见,但客观测量其严重程度一直很困难。标准的方法是对患者进行监测以预防并发症,而非治疗漂浮物。随着手术器械和技术的进步,眼科医生有多种治疗有明显视觉症状的漂浮物的选择,最常见的是经睫状体平坦部玻璃体切除术和激光玻璃体溶解术。本文旨在回顾讨论漂浮物诊断和治疗方法的文献。

相似文献

1
Management of Visually Significant Vitreous Opacities.显著玻璃体混浊的处理。
Mo Med. 2024 Sep-Oct;121(5):391-394.
2
Nd:YAG laser vitreolysis versus pars plana vitrectomy for vitreous floaters.钕钇铝石榴石激光玻璃体溶解术与玻璃体切割术治疗玻璃体混浊的对比研究
Cochrane Database Syst Rev. 2017 Jun 1;6(6):CD011676. doi: 10.1002/14651858.CD011676.pub2.
3
Nd:YAG vitreolysis and pars plana vitrectomy: surgical treatment for vitreous floaters.钕钇铝石榴石玻璃体溶解术和平坦部玻璃体切除术:玻璃体混浊的手术治疗
Eye (Lond). 2002 Jan;16(1):21-6. doi: 10.1038/sj.eye.6700026.
4
Laser vitreolysis for symptomatic floaters is not yet ready for widespread adoption.激光玻璃体切除术治疗有症状的飞蚊症尚不成熟,尚未广泛采用。
Surv Ophthalmol. 2020 Sep-Oct;65(5):589-591. doi: 10.1016/j.survophthal.2020.02.007. Epub 2020 Mar 3.
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Novel OCT Application and Optimized YAG Laser Enable Visualization and Treatment of Mid- to Posterior Vitreous Floaters.新型光学相干断层扫描(OCT)应用与优化的钇铝石榴石(YAG)激光实现对中后段玻璃体混浊的可视化及治疗
Ophthalmic Surg Lasers Imaging Retina. 2018 Oct 1;49(10):806-811. doi: 10.3928/23258160-20181002-10.
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Vitrectomy for vitreous floaters: analysis of the benefits and risks.玻璃体切除术治疗玻璃体混浊:益处与风险分析
Curr Opin Ophthalmol. 2015 May;26(3):173-6. doi: 10.1097/ICU.0000000000000150.
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Int Ophthalmol. 2023 Oct;43(10):3587-3594. doi: 10.1007/s10792-023-02765-4. Epub 2023 Jul 4.
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Pars plana vitrectomy for persistent, visually significant vitreous opacities.针对持续性、具有明显视力影响的玻璃体混浊进行玻璃体切割术。
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Adv Ther. 2020 Apr;37(4):1319-1327. doi: 10.1007/s12325-020-01261-w. Epub 2020 Feb 21.

本文引用的文献

1
Small-Gauge Pars Plana Vitrectomy for Visually Significant Vitreous Floaters.用于治疗具有明显视觉影响的玻璃体混浊的小切口玻璃体切除术
J Vitreoretin Dis. 2020 Oct 30;5(3):247-250. doi: 10.1177/2474126420961736. eCollection 2021 May-Jun.
2
Visualization and Grading of Vitreous Floaters Using Dynamic Ultra-Widefield Infrared Confocal Scanning Laser Ophthalmoscopy: A Pilot Study.使用动态超广角红外共焦扫描激光检眼镜对玻璃体混浊进行可视化和分级:一项初步研究。
J Clin Med. 2022 Sep 20;11(19):5502. doi: 10.3390/jcm11195502.
3
Efficacy and Safety of Pars Plana Vitrectomy for Primary Symptomatic Floaters: A Systematic Review with Meta-Analyses.玻璃体切除术治疗原发性有症状飞蚊症的疗效与安全性:一项荟萃分析的系统评价
Ophthalmol Ther. 2022 Dec;11(6):2225-2242. doi: 10.1007/s40123-022-00578-9. Epub 2022 Oct 5.
4
Long-term evaluation of the efficacy and safety of Nd:YAG laser vitreolysis for symptomatic vitreous foaters.钕钇铝石榴石激光玻璃体溶解术治疗有症状玻璃体漂浮物的疗效和安全性长期评估
Arq Bras Oftalmol. 2022 Sep 23;87(2):0395. doi: 10.5935/0004-2749.2021-0395. eCollection 2022.
5
Vitreous Opacity Vitrectomy (VOV): Safest Possible Removal of "Floaters".玻璃体混浊玻璃体切除术(VOV):尽可能安全地清除“飞蚊症”。
Clin Ophthalmol. 2022 Jun 1;16:1653-1663. doi: 10.2147/OPTH.S361557. eCollection 2022.
6
Secondary open-angle glaucoma following YAG-laser vitreolysis.YAG 激光玻璃体切割术后的继发性开角型青光眼。
BMJ Case Rep. 2022 Apr 29;15(4):e248937. doi: 10.1136/bcr-2022-248937.
7
Volumetric Optical Imaging and Quantitative Analysis of Age-Related Changes in Anterior Human Vitreous.容积光学成像及人眼前房玻璃体年龄相关性改变的定量分析。
Invest Ophthalmol Vis Sci. 2021 Apr 1;62(4):31. doi: 10.1167/iovs.62.4.31.
8
Acute symptomatic vitreous floaters assessed with ultra-wide field scanning laser ophthalmoscopy and spectral domain optical coherence tomography.应用超广角扫描激光检眼镜和谱域光相干断层扫描评估急性症状性玻璃体浮游物。
Sci Rep. 2021 Apr 26;11(1):8930. doi: 10.1038/s41598-021-88371-9.
9
Efficacy and safety of Nd:YAG laser vitreolysis for symptomatic vitreous floaters: A randomized controlled trial.Nd:YAG 激光玻璃体液化术治疗症状性玻璃体混浊的疗效和安全性:一项随机对照试验。
Eur J Ophthalmol. 2021 May;31(3):909-914. doi: 10.1177/1120672120968762. Epub 2020 Nov 4.
10
Management of vitreous floaters: an international survey the European VitreoRetinal Society Floaters study report.玻璃体混浊的管理:一项国际调查——欧洲玻璃体视网膜学会浮动物体研究报告。
Eye (Lond). 2020 May;34(5):825-834. doi: 10.1038/s41433-020-0825-0. Epub 2020 Apr 20.