在接受白内障手术的玻璃眼患者中,iStent注射与Kahook双刀切手术的结果
Anna Barkander1, M A Economou2,3, Gauti Jóhannesson1,4,5
1Department of Clinical Sciences, Ophthalmology, Umeå University, Umeå, Sweden.
Journal of glaucoma
|June 16, 2023
概括
无论是iStent还是Kahook双刀子骨切除术,都有效地降低了青光眼患者的眼内压力. 与iStent相比,Kahook双刀骨骨切割显示药物需求的减少更大.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 最少侵入性玻璃眼外科手术
背景情况:
- 青光眼的管理通常涉及眼内压力 (IOP) 降低和药物坚持.
- 与MIGS手术相结合的法化,如iStent注射植入 (iStent) 和Kahook双刀切术 (KDB) 是对玻璃眼的选择.
- 对比这些联合程序的长期疗效对于临床决策至关重要.
研究的目的:
- 为了比较iStent或KDB与发泡乳化相结合的2年疗效和安全性.
- 为了评估在轻度至晚期开角玻璃眼患者中IOP降低和药物使用情况.
主要方法:
- 对153名通过iStent或KDB进行化治疗的患者的回顾性图表审查.
- 2年后评估的结果包括IOP降低 (≥20%至≤18 mmHg) 和药物减少 (≥1).
- 结果根据青光眼的严重程度 (轻度至高级) 分层.
主要成果:
- 两种法科-iStent和法科-KDB在2年后显著降低了IOP (P<0.001).
- 在这两组中,平均药物使用量都下降了,而菌-KDB组的下降更为显著 (P<0.001).
- IOP和药物减少的成功标准以相似的百分比得到满足,KDB在药物减少方面具有显著的优势 (53%对32%,P=0.013).
结论:
- iStent和KDB结合发泡乳化是有效的降低IOP在所有的青光眼的各个阶段.
- 与iStent相比,KDB显示药物需求的减少更大.
- 这些发现表明,KDB在手术后的药物减少方面可能提供更有利的形象.
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