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Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy

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机构: [1]Department of Ophthalmology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China. [2]Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China. [3]Department of Ophthalmology, the Second People's Hospital of Foshan, Foshan 528000, Guangdong Province, China. [4]The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
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关键词: endoscopy-assisted vitrectomy chronic hypotony anterior proliferative vitreoretinopathy anterior vitreous segment trauma

摘要:
To report outcomes of endoscopy-assisted vitrectomy (EAV) in patients with chronic hypotony following severe ocular trauma or vitrectomy.This was a retrospective, noncomparative case series. Ciliary bodies were evaluated using ultrasound biomicroscopy pre-operatively and direct visualisation intraoperatively. All selected individuals (seven patients/seven eyes) underwent EAV. Removal of ciliary membrane and traction, gas/silicone oil tamponade (GT/SOT), and scleral buckling (SB) were performed in selected eyes. Outcome measurements mainly included intraocular pressure (IOP) and best-corrected visual acuity (BCVA).Seven eyes from 7 male aphakic patients with a mean age of 45 (range, 20-68)y were included in this study; the average follow-up time was 12 (9-15)mo. GT was performed in 2 eyes; membrane peeling (MP) and SOT in 2 eyes; and MP, SOT, and SB in 3 eyes. The mean pre- and post-operative IOP were 4.5 (range, 4.0±0.11 to 4.8±0.2) mm Hg and 9.9 (range, 5.6±0.17 to 12.1±0.2) mm Hg at 52wk (12mo), respectively. BCVA improved in six eyes; one eye still showed light perception, and no bulbi phthisis was observed.Endoscopy offers improved judgment and recognition and has an improved prognosis for chronic hypotony. Therefore, endoscopy can be an effective and promising operative technique for chronic traumatic hypotony management.International Journal of Ophthalmology Press.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 眼科学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
第一作者:
第一作者机构: [1]Department of Ophthalmology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China. [2]Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China.
通讯作者:
通讯机构: [1]Department of Ophthalmology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China. [2]Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China. [4]The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong Province, China. [*1]Department of Ophthalmology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China
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