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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
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在老年患者中进行内科手术定制降低Baerveldt植入物板大小,患者患有玻璃眼和短眼
1Department of Ophthalmology, Päijät-Häme Central Hospital, Wellbeing Services County of Päijät-Häme, Lahti, 15850, Finland.
Clinical ophthalmology (Auckland, N.Z.)
|August 15, 2023
概括
在老年患者中减少贝尔维尔德植入物板大小,有效降低眼内压力和药物使用. 这种格劳科马手术修改显示出高成功率,并有可控的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械 医疗器械
背景情况:
- 较大的青光眼排水植入板与较大的眼内压力 (IOP) 降低相关.
- 高龄和短轴长度是低血压和脑上出血的风险因素.
研究的目的:
- 评估手术内巴尔维尔特植入物板尺寸缩小的临床结果.
- 评估这项技术在老年患者 (≥80岁) 的短轴长度 (<22毫米).
主要方法:
- 对24名不受控制的玻璃眼病患者进行了回顾性研究,这些患者接受了贝尔维尔特植入体,并减少了板块大小.
- 成功定义为IOP<21 mmHg,≥30%的IOP降低,IOP>5 mmHg,没有重新手术或视力丧失.
- 盘子尺寸根据直肠肌肉之间的距离进行定制.
主要成果:
- 在随访时,平均手术前内血压 (30.2 mmHg) 降至13.3 mmHg (56%的下降) (P<0.001).
- 抗白血病药物的使用量从3.7降至1.6 (P<0.001).
- 成功率为79% (19/24眼),有58%的合格成功和21%的完全成功. 并发症包括一个上出血和两个低血压.
结论:
- 贝尔维尔特植入与定制板块缩小是有效的艰难的玻璃眼在老年患者短眼.
- 这种技术为这个特定的患者群体提供了可行的手术选择.
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