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对于开放角眼光瘤的60度鼻腔角切除术的结果

Alejandro Espaillat¹

¹Alejandro Espaillat MD PLLC, Deerfield Beach, FL.

Journal of glaucoma

|July 31, 2023

概括

在24个月的时间里,Espaillat juxtacanalicular空间滑动器有效地降低了眼内压力和开角玻璃眼患者的药物需求. 这种微创手术证明了持续的疗效,并很少出现不良事件.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
最少侵入性手术的方法

背景情况:

开角青光眼 (OAG) 的管理通常需要终身药物治疗,并可能导致眼内压力 (IOP) 显著升高.
手术干预的目的是减少IOP和药物依赖,改善患者的治疗结果.

研究的目的:

为了评估Espaillat juxtacanalicular空间滑动器在轻度至中度OAG的60度鼻腔部门阴茎切除中安全性和有效性.
在24个月的时间内评估持续下降的眼内压力和青光眼的药物需求.

主要方法:

一个前性,观察性病例系列,涉及轻度至中度OAG的患者,他们接受了联合的发泡乳化白内障手术和60度鼻子部门切术,使用Espaillat滑动器.
在手术后24个月内对眼内压力,药物使用和不良事件进行了监测.
成功被定义为≥20%的IOP降低和≥1个药物减少≥12个月.

主要成果:

观察到显著的IOP降低:38%在12个月 (13.7±1.7 mmHg),35%在18个月 (14.4±1.8 mmHg),和31%在24个月 (15.2±1.9 mmHg).
平均局部格劳科马药物使用量从1.6降至0.4 (P <0.001).
76%的患者的主要不良事件是暂时的焦点角膜.

结论:

在Espaillat juxtacanalicular空间滑动器促进一个60度的鼻子部门切,显著降低OAG患者的眼内压力.
该程序导致对具有良好的安全性概况的青光眼药物的需求持续下降.
这种方法为管理轻度至中度开角青光眼提供了一个有前途的最小侵入性选择.

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