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用镜辅助的透光轨道切除术进行法乳化与单独进行法乳化在初级角度闭眼眼中:一项随机对照研究

Yasmine Mohamed El Sayed¹, Nader Momtaz Mettias², Hanan Mohyi Eldin Elghonemy²

¹Cairo University Faculty of Medicine, Cairo, Egypt.

Acta ophthalmologica

|July 12, 2023

概括

结合发泡乳化与镜辅助的透光轨道切除术 (GATT) 显著降低了眼内压力和药物需求在初级角度闭眼镜患者. 这种结合方法的成功率高于单独的化,尽管可能会出现暂时的视觉延迟.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
手术创新在外科创新.

背景情况:

主要角闭眼光眼 (PACG) 由于眼内压力升高 (IOP) 对视力构成重大风险.
目前的管理通常涉及药物或侵入性手术,具有不同的疗效和风险概况.
化是一种常见的白内障手术,但它对PACG IOP的影响有限.

研究的目的:

评估将发泡乳化与镜辅助透光轨道切除术 (GATT) 结合使用的安全性和有效性.
为了比较phaco-GATT与单独的phacoemulsification在管理PACG中的结果.
评估关键指标,包括内血压,药物使用和手术成功率.

主要方法:

进行了一项前性随机机构研究.
需要手术的PACG患者被分配到单独的phaco-GATT或phacoemulsification.
手术成功的定义是目标内血压范围 (6-20 mmHg) 和没有进一步的玻璃眼手术或视力危险的并发症.

主要成果:

与单独法化 (38只眼睛) 组相比,法-GATT组 (36只眼睛) 在所有随访点 (1-12个月) 显示出显著较低的IOP和减少的青光眼药物需求,而非单独法化 (38只眼睛).
菌-GATT组的成功率为94.4%,75%的患者不再服用药物,而菌乳化组的成功率为86.8%和42.1%的患者不再服用药物.
术后血和前腔反应在法科-GATT组中更常见,可能会延迟视力恢复,但不会影响最终的视力敏度.

结论:

与GATT相结合的法化为PACG管理提供了更好的结果,包括更低的IOP,减少药物依赖,并提高了手术成功.
通过解决外围前侧突和功能障碍的轨道网,GATT有效地降低了IOP.
虽然可能会出现过渡性并发症,如血,但phaco-GATT手术提供了一个更安全的替代方案,而不是更具侵入性的青光眼手术.

关键词:

视角关闭玻璃眼玻璃眼角外科手术角外科手术经光镜辅助的透光轨道切除术 (transluminal trabeculotomy) 是用光镜进行的.发泡乳化法可化通过trabeculotomy进行形切除.

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