眼内和眼脸联合手术

Saptagirish Rambhatla, Srushti Bagde, Shashidhar VS, Samya Mujeeb, R. P. Maurya
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摘要

:传统上,眼科医生的 "联合手术 "包括白内障摘除术与其他眼内手术的联合。然而,关于眼面部手术(眼睑、提眉和面部手术)与白内障摘除术联合应用的文献还很缺乏。 本研究旨在分析白内障和眼部整形手术同时应用的可能性和可行性。研究对象包括可手术的白内障和非感染性眼部整形病变患者,他们同意同时接受手术。我们为 122 名患者实施了白内障和眼部整形联合手术,其中男性 53 人,女性 69 人;同侧 73 人,对侧 49 人。术后随访期为 1 个月。在接受联合手术的患者中,我们没有发现任何出血/血肿现象。白内障摘除术后未发现眼部炎症/感染。我们发现,与常规白内障手术相比,上睑下垂矫正不足/过度和白内障摘除术的联合手术对视觉效果没有影响。我们注意到,接受上睑下垂矫正术的患者没有出现下垂或上睑下垂矫正过度的情况。 结论:对于因选择或医学建议而不愿接受多阶段手术的患者来说,同时进行眼外和超声乳化术是一种选择。对于医疗依从性较差的患者来说,这也是一种选择,而且有利于人体工程学和经济性。
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Combined intraocular and oculofacial surgeries
: Traditionally, a ‘combined surgery’ for ophthalmologists includes combined cataract extraction with other intraocular surgeries. However, literature is lacking on oculofacial procedures (eyelid, brow lift and facial surgery) combined with cataract extraction. : With this study, we aim to analyse the possibility and feasibility of simultaneous cataract and Oculoplastic procedures. Patients with operable cataracts and non-infective oculoplastic lesions, consenting to undergo simultaneous procedures were included in the study. We performed combined cataract and oculoplastic procedures in 122 patients, out of which 53 were males and 69 were females, 73 were ipsilateral and 49 contralateral eyes. The postoperative follow-up period was 1 month. We did not note any hemorrhage/ hematoma in any of our patients undergoing combined procedures. No post-operative ocular inflammation/ infection was noted after cataract extraction. We found that the combined procedure of ptosis under/ over correction with cataract extraction had no bearing on visual outcomes as compared to routine cataract outcomes. We noted no under or over-correction in patients undergoing ptosis correction. : Simultaneous extra-ocular and phacoemulsification is an option for patients reluctant for multistage procedures either by choice or medical recommendations. It is also an alternative for patients with poor medical compliance and works in favour of ergonomics and economy.
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