Graves眼病眼眶减压术术式选择及并发症的研究进展

Research progress in the selection of surgical methods and complications of orbital decompression in the treatment of Graves ophthalmopathy

Graves眼病(GO)是最常见且治疗相对复杂的眼眶疾病,发病率逐年增高,严重者会出现暴露性角膜病变、复视以及压迫性视神经病变,明显影响患者的生存质量。眼眶减压手术目前是治疗中重度GO的有效手段,且随着手术适应证的逐渐拓宽,越来越多的合并有眼球突出的轻中度GO患者要求手术治疗以改善外观。眼眶减压手术的术式种类繁多,究竟选择哪种眶减压术式能使患者获益最大,成为眼科医生最常遇到的问题。随着手术量的逐渐加大,并发症日益凸显,手术并发症的存在影响着患者术后满意度。为加深对并发症的认识,避免或减少并发症发生,优化手术方案,本文回顾了近年来国内外相关文献报道,对GO患者眼眶减压术的术式选择及手术相关并发症作一综述。

Graves ophthalmopathy(GO)is the most common and relatively complicated orbital diseases,and the incidence rate is increasing year by year.Severe GO may present with exposure keratopathy,diplopia and compressive optic neuropathy,which seriously affects influences patients quality of life.At present,orbital decompression is an effective method in the treatment of moderate and severe GO,and with the continuous expansion of indications for orbital decompression,more and more patients with mild and moderate GO with exophthalmos require surgical treatment to improve the appearance.There are many different surgical techniques for orbital decompression,and which one can achieve patients’maximum benefit is a frequently encountered clinical problem for ophthalmologist.With the gradual increase of the amount of surgery,complications become increasingly prominent,which affect postoperative satisfaction of patients.In order to deepen the understanding of complications,avoid or reduce the occurrence of complications,and optimize the operation plan,this paper reviews the relevant literature at home and abroad in recent years,and summarizes the selection of operation methods and operation related complications of orbital decompression in GO patients.