在MicroShunt植入后的早期术后期的低位与带切除术相比:一项注册研究
Anders Djupesland Bøhler1,2, Valgerdur Dora Traustadóttir1,2, Anne Marie Hagem1,2
1Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
Acta ophthalmologica
|June 21, 2023
概括
普雷斯弗洛微射线和眼切除术在青光眼患者中提供类似的眼内压力降低. 然而,MicroShunt与手术后早期低血压的发病率较高有关.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 手术设备 手术设备
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 过手术是一种常见的治疗方法,用于降低眼内压力 (IOP).
- 带切除术是一种传统的外科手术,而Preserflo MicroShunt是一种较新的替代方案.
研究的目的:
- 为了比较Preserflo MicroShunt的安全性和有效性与轨道切除术.
- 具体评估在这些手术后的早期术后期低血压的发生率.
主要方法:
- 一项涉及200名青光眼患者 (200只眼睛) 的注册研究.
- 100名患者接受了Preserflo MicroShunt,100名患者接受了轨道切除术.
- 在手术后4周和8周收集数据,将低血压定义为内压<6mmHg.
主要成果:
- 这两种手术在8周后 (p=0.23) 实现了可比的IOP降低.
- 低位症发生在63%的MicroShunt患者中,而21%的轨道切除术患者中 (p<0.001).
- 在MicroShunt组中,冠状腺脱落的发生频率更高 (11%对1%,p<0.003).
结论:
- 普雷斯弗洛MicroShunt和trabeculectomy表现出类似的早期IOP降低功效.
- 微冲动手术与早期术后低血压率显著增加有关.
- 需要对MicroShunt患者进行进一步的监测,以了解与低血压相关的并发症.
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