(Correspondent Yu Ying) On September 30, the first nasal endoscopic optic nerve decompression surgery in Hubei Province was successfully carried out in Wuhan Aige Eye Hospital. The operation was successfully saved by the nearly 6 hours of hard work of the hospital's director Cheng Mianzheng's team.
Hubei Province's first case was independently completed by an ophthalmologist. The optic nerve decompression surgery under nasal endoscopic successfully carried out
11 On October 9, Mr. Li came to the hospital's tear duct orbital tumor department again for a review. His vision increased from almost blindness to 0.6, which made him very happy.
According to Mr. Li, he went to Wuhan from Henan to seek medical treatment, one was because he came here to see him, and the other was because eye disease had a great impact on his life.
A year ago, his left eye began to stand out, and he looked at things and double vision (one turned into two). He felt uneven when walking, and he could fall down even when walking on the ground, and he didn't dare to ride a bike because he couldn't judge the distance of the car.
. His vision decreased rapidly in the past month, and he could only see his fingers shaking in front of his eyes. He sought medical treatment in many hospitals in Henan. Some suspected it was a tumor in the eye, some suspected it was a thyroid-related eye disease ...
All kinds of Chinese and Western medicine have tried treatment in the past year, but there has been no improvement.
Mr. Li's right eye is protruding. Nearly 9mm higher than normal right eye
When he found Director Cheng Mianzheng, the Department of Tears and Orbital Oncology, Wuhan Aige Eye Hospital, the situation was not objective. Director Cheng found that Mr. Li had thyroid-related eye disease, with a protruding left eye, nearly 9mm higher than normal right eye. After being admitted to the hospital, the orbital CT was found that the four muscles next to his eyeball were significantly thickened, and they compressed the optic nerve in a relatively narrow space deep in the orbit, resulting in compressing optic neuropathy. In the end, "quantitative change causes qualitative change" and causing sharp decline in vision.
It is recommended to operate as soon as possible, otherwise it will cause irreversible vision loss, and even blindness, and the consequences will be unimaginable.
Mr. Li followed the advice of Director Cheng Mianzheng's team and underwent surgery.
Based on Mr. Li's condition, Cheng Mianzheng's team developed a personalized orbital decompression surgery surgery plan. nasal endoscopy optic nerve decompression surgery combined with external orbital wall decompression, the operation lasted nearly 6 hours.
orbital decompression surgery for thyroid-related eye diseases, especially for optic nerve decompression surgery through endoscopy , which is very difficult. No ophthalmologist in Hubei Province has completed such surgery independently. In order to save Mr. Li's vision on the verge of blindness, Cheng Mianzheng's team faced the challenge.
The key to orbital decompression surgery: Rescuing the compressed optic nerve.
The eyes are like living in a "house" (eye orbit). The main tissue behind the eyeball is the optic nerve, fat, and muscle.
Thyroid-related eye disease causes the four muscles next to the eyeball inside the house to continue to grow fat and become fat and thick. The originally "free" and unrestrained optic nerve is firmly tied by the four thick external muscles of the , as if the neck is firmly pinched by iron clamps.
If you want to save Mr. Li's optic nerve, you must find a way to tear down the inner and outer walls of the "house" while ensuring safety.
inner wall, just rely on the optic nerve decompression surgery under the nasal endoscopy, and perform subtraction . This is the difficulty and key of the operation. The orbit is adjacent to the brain and there are many important blood vessels and nerves around it. The deeper the bone wall is removed during the operation, the more pressure is relieved by the optic nerve. The operation is "snap the shortcut" through the nose and directly reaches the optic nerve lesions. It is minimally invasive, and the risk of the operation also increases geometrically. If you are not careful, vascular or nerve trauma will occur after the operation.
Therefore, in order to ensure the safety of the patient while benefiting more, the surgeon needs to understand the anatomical structure of the nasal cavity and orbit very well, accurately judge the operable range during the operation, remove the excess fat tissue in the orbit to the greatest extent, reduce the amount of orbital content as a whole, allow the eyeball to retreat, return to normal, and restore the compressed optic nerve.
The outer wall is close to the outer opening of the orbit, and the addition of was done. The double eyelid incision made by Cheng Mianzheng's team looked like a double eyelid, and it had little impact on appearance after recovery after surgery.
"Although it is very difficult, it is beneficial to the patient, we must bravely try it. The traditional surgical method is very traumatic and scars are left after the operation. The current endoscopic technology has become an effective and safe treatment method for orbital decompression surgery due to its direct vision, good lighting, no serious facial scars and good display at key anatomical locations..." After the operation, Cheng Mianzheng told the patient.
As expected, the new minimally invasive surgery brought good news to Mr. Li. One week after the operation, when Mr. Li came to the hospital for a follow-up examination, his vision increased from almost blindness to 0.6, which can be said to have created a miracle.
Director Cheng Mianzheng emphasized: Thyroid-related eye diseases, in mild cases, eye swelling and red eyes, eyeball protruding , double vision , and in severe cases, corneal rupture or even blindness. Once the above related symptoms are present, you must seek medical treatment in time, early diagnosis, early treatment is the key, and you cannot delay it. If it is delayed for a long time and there is no limit, it will be difficult to treat and the effect is not good. Currently, the hospital has a systematic diagnosis and treatment system for thyroid-related eye diseases, which can be treated according to the person and according to the disease.
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