非体外循环冠状动脉搭桥术对脉络膜下厚度、神经节细胞复合体和视网膜神经纤维层厚度的影响。

IF 2.3 Q2 OPHTHALMOLOGY
Therapeutic Advances in Ophthalmology Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI:10.1177/25158414231204106
Nesime Setge Tıskaoğlu, Alper Yazıcı, Abdulkadir Ercan, Kübra Tınç
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引用次数: 0

摘要

背景:心脏手术与眼部不良事件有关。非体外循环冠状动脉搭桥手术避免了体外循环中出现的全身炎症反应,在末端器官功能障碍和神经系统结果方面优于体外循环。目的:确定非体外循环冠状动脉搭桥术对脉络膜厚度、神经节细胞复合体和视网膜神经纤维层的影响。设计:前瞻性纵向研究。方法:对接受非体外循环手术的患者在术前和术后1小时进行检查 第6周 手术后数周。记录脉络膜厚度、神经节细胞复合体和视网膜神经纤维层的测量结果,并评估非体外循环冠状动脉搭桥术对这些参数的影响。结果:本研究共纳入44例44眼患者。从252.84开始,凹下脉络膜厚度有统计学意义的增加 ± 56.24 µm至273.82 ± 39.76 1时为µm 周和301.97 ± 44.83 µm,6 非体外循环冠状动脉搭桥术后数周(p = 0.044;p ⩽ 0.001)。神经节细胞复合体和视网膜神经纤维测量显示与术前值相比没有显著差异。结论:非体外循环冠状动脉搭桥术对神经节细胞复合体和视网膜神经纤维的测量没有负面影响。非体外循环手术后,脉络膜下厚度显著增加,这可能对高危患者或已有受脉络膜影响的眼部疾病的患者有利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effect of off-pump coronary bypass graft surgery on subfoveal choroidal thickness, ganglion cell complex, and retinal nerve fiber layer thickness.

The effect of off-pump coronary bypass graft surgery on subfoveal choroidal thickness, ganglion cell complex, and retinal nerve fiber layer thickness.

The effect of off-pump coronary bypass graft surgery on subfoveal choroidal thickness, ganglion cell complex, and retinal nerve fiber layer thickness.

The effect of off-pump coronary bypass graft surgery on subfoveal choroidal thickness, ganglion cell complex, and retinal nerve fiber layer thickness.

Background: Cardiac surgery has been associated with adverse ocular events. Off-pump coronary artery bypass graft surgery evades the systemic inflammatory response seen in extracorporeal circulation and is superior to on-pump surgery with regard to end-organ dysfunction and neurological outcomes.

Objectives: To determine the effects of off-pump (without extracorporeal circulation) coronary artery bypass graft surgery on choroidal thickness, ganglion cell complex, and the retinal nerve fiber layer.

Design: Prospective, longitudinal study.

Methods: Patients who underwent off-pump surgery were examined preoperatively and postoperatively at 1 week and 6 weeks after surgery. Choroidal thickness, ganglion cell complex, and the retinal nerve fiber layer measurements were recorded, and the effects of off-pump coronary artery bypass on these parameters were assessed.

Results: A total of 44 eyes of 44 patients were included in the study. There was a statistically significant increase in subfoveal choroidal thickness from 252.84 ± 56.24 µm preoperatively to 273.82 ± 39.76 µm at 1 week and 301.97 ± 44.83 µm at 6 weeks after off-pump coronary artery bypass graft surgery (p = 0.044; p ⩽ 0.001). Ganglion cell complex and retinal nerve fiber measurements showed no significant difference compared to preoperative values.

Conclusion: Off-pump coronary artery bypass graft surgery showed no negative effects on ganglion cell complex and retinal nerve fiber measurements. A significant increase in subfoveal choroidal thickness was seen after off-pump surgery, which might be advantageous in patients who are at high risk or have preexisting ocular diseases that are affected by the choroid.

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CiteScore
4.50
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