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艾哈迈德与贝尔维尔特在儿科患者中进行了青光眼疏通装置交换

Adam Jacobson¹, Brenda L Bohnsack^2,3

¹Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, MI, 48105, USA.

BMC ophthalmology

|July 11, 2023

概括

在患有耐火性玻璃眼的儿童中,将失败的艾哈迈德玻璃眼排水装置 (GDD) 换成Baerveldt GDD改善了眼内压力控制和减少了药物需求. 这种外科手术方法对儿科玻璃眼管理有希望.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
儿科眼科医生儿科眼科医生

背景情况:

在儿科耐火性玻璃眼中封装的艾哈迈德玻璃眼排水装置 (GDD) 的管理缺乏共识.
对于无法控制眼内压力 (IOP) 的GDD进行手术的报道很少.

研究的目的:

评估在患有耐火性玻璃眼的儿童中将艾哈迈德GDD与BaerveldtGDD交换的结果.
评估GDD交换程序在儿科患者群体中的有效性和安全性.

主要方法:

对接受艾哈迈德FP7切除和Baerveldt 350 GDD安置的儿科患者 (<18岁) 的回顾性评估.
手术成功定义为5-20mmHg之间的内血压,没有进一步的手术或并发症.
评估的结果包括最佳校正的视力敏度 (BCVA),内视压力 (IOP) 和绿眼病药物计数.

主要成果:

10名儿科患者的12只眼睛接受了GDD交换.
巴尔维尔特350 GDD在最终的后续检查中取得了75%的成功率.
观察到IOP (24.1~14.9mmHg) 和药物数量 (3.7~2.7) 的显著降低 (p<0.004).
BCVA保持稳定;并发症包括两只眼睛的循环缩和一只眼睛的视网膜脱落.

结论:

艾哈迈德GDD移除和BaerveldtGDD安置可以有效地改善IOP控制,并减少儿科耐火性玻璃眼的药物依赖.
需要对更大的队列和更长的随访进行进一步的研究,以确认长期结果.

关键词:

艾哈迈德植入物植入物艾哈迈德植入物贝尔维尔特植入物是一种植入物.童年玻璃眼疾病儿童玻璃眼.青光眼的排水装置,是眼光眼的排水装置.

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