Mesh : Humans Laser Therapy / methods Lasers, Solid-State / therapeutic use Tomography, Optical Coherence Vision Disorders / diagnosis pathology surgery Vitrectomy / methods Vitreous Body / surgery pathology Vitreous Detachment / diagnosis pathology therapy

来  源:   DOI:10.1097/ICU.0000000000001075

Abstract:
OBJECTIVE: Vitreous floaters, characterized by the perception of spots or shadows in the visual field, commonly result from posterior vitreous detachment and can cause chronic symptoms in affected patients. The diagnosis of posterior vitreous detachment is typically determined clinically and can sometimes be confirmed with optical coherence topography (OCT) [1 ▪▪ ] . The objective of this review is to review management options for symptomatic vitreous floaters.
RESULTS: Symptoms of vitreous floaters may be mild or may significantly affect patient quality of life. Observation is the most common management strategy. Procedural management options include pars plana vitrectomy (PPV) and neodymium-doped yttrium aluminium garnet (Nd:YAG) vitreolysis. PPV is considered the most definitive management option for vitreous floaters. PPV, however, carries inherent risks, notably infection, cataract formation, and retinal detachment [2] . Nd:YAG laser vitreolysis is a less invasive alternative with studies demonstrating varied success [1 ▪▪ ,3,4] .
CONCLUSIONS: This review provides insights into the current state of knowledge regarding the management of vitreous floaters and can guide clinical decision-making.
摘要:
目标:玻璃体漂浮物,以视野中斑点或阴影的感知为特征,通常由玻璃体后脱离引起,并可在受影响的患者中引起慢性症状。玻璃体后脱离的诊断通常是在临床上确定的,有时可以通过光学相干地形图(OCT)确认[1■■]。本综述的目的是审查有症状的玻璃体漂浮物的治疗方案。
结果:玻璃体漂浮物的症状可能是轻微的,或者可能显著影响患者的生活质量。观察是最常见的管理策略。程序性管理选项包括平坦部玻璃体切除术(PPV)和掺钕钇铝石榴石(Nd:YAG)玻璃体溶解。PPV被认为是玻璃体漂浮物的最确定的管理选择。PPV,然而,具有固有风险,尤其是感染,白内障的形成,和视网膜脱离[2]。Nd:YAG激光玻璃体溶解是一种侵入性较小的替代方法,研究表明取得了不同的成功[1.3,4].
结论:这篇综述提供了有关玻璃体漂浮物管理的知识现状的见解,并可以指导临床决策。
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