Combined treatment with urea injection and surgical procedure for ocular arteriovenous malformation with fistula
10.3760/cma.j.issn.1009-4598.2018.02.011
- VernacularTitle: 探讨尿素注射联合手术治疗眼部动静脉血管畸形伴动静脉瘘
- Author:
Jin LI
1
;
Chang CHAI
;
Weiqun WANG
;
Junbo QIAO
Author Information
1. Department of Ophthalmology, People′s Hospital of Zhengzhou University, Henan Provincial People′s Hospital, Henan Eye Institute & Henan Eye Hospital, Zhengzhou 450003, China
- Publication Type:Clinical Trail
- Keywords:
Urea;
Eye;
Arteriovenous malformation;
Fistula
- From:
Chinese Journal of Plastic Surgery
2018;34(2):128-132
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the treatment of the ocular arteriovenous malformation using urea injection combined with surgical procedures and evaluate clinical effects.
Methods:42 cases withocular arteriovenous malformation combined with fistula were retrospectively analyzed between January 2011 and December 2016. Individual treatments were formulated according to leision areas and severity. 3 cases with diffuse malformations were excluded from the study, because no surgical procedures were performed. 39 cases underwent local injection with 40% urea before resection. The urea was injected locally into vein malformation area by means ofmulti-point injection on a basis of 30 seconds, 3-6 ml for each treatment, once a day.The injection was performed for successive 7-10 days.The therapeutic effects and cosmetic result were recorded.
Results:23 cases occurred intheright ocular area and 16 cases in left.21 cases were removed radically in single operation.No recurrenceoccurredin any case with follow-ups of 3 months to 1.5 years.Cosmetic result with ocularbilateral symmetrywere satisfactory.
Conclusions:Combined treatment with urea injection and surgical procedure could effectively treat ocular arteriovenous malformation with arteriovenousfistula.
