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管与管切除术IRIS注册研究:一年的二次治疗结果
Catherine Q Sun1, Matthew J McSoley2, Flora Lum3
1From the Bascom Palmer Eye Institute (C.Q.S., M.J.M., T.C.C., S.J.G., E.A.V.), Miami, Florida, USA; Department of Ophthalmology (C.Q.S.), University of California, San Francisco, California, USA; F.I. Proctor Foundation (C.Q.S.), University of California, San Francisco, California, USA.
American journal of ophthalmology
|August 25, 2023
概括
玻璃眼瘤手术的结果显示,类似的眼内压力降低与管道短路和轨道切除术. 带切除术需要更少的药物,突出了随机对照试验和现实世界电子健康记录数据的价值,以获得外科洞察力.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 外科手术的结果
背景情况:
- 瘤手术的目的是降低眼内压力 (IOP) 并防止视力丧失.
- 导管切换和轨道切除术是对玻璃眼的常见手术干预.
- 从现实数据和随机对照试验中比较结果对于基于证据的实践至关重要.
研究的目的:
- 在智能注册在视觉 (IRIS) 注册表研究 (TVTIRIS) 中评估管道分流和轨道切除手术的1年次要结果.
- 为了将这些结果与来自Tube Versus Trabeculectomy随机对照试验 (TVTRCT) 的结果进行比较.
主要方法:
- 一项使用2013-2017年IRIS注册表的回顾性队列研究.
- 纳入标准:眼睛接受先前手术后的管道分流或轨道切除术,随访1年.
- 与TVTRCT的数据进行比较,该数据比较了Baerveldt玻璃眼植入物与轨道切除术的数据.
主要成果:
- 在TVTIRIS中,管道分流和带切除组在1年内显示出显著的IOP降低.
- 在TVTIRIS中,带切除眼睛与管道分流眼睛相比,使用了较少的玻璃眼药物.
- 在TVTIRIS和TVTRCT中,关于IOP和药物使用,带切除术的结果与TVTRCT中的结果相似.
- 在TVTIRIS队列中观察到更高的重新操作率.
结论:
- 导管分流和轨道切除手术在1年内提供了可比的IOP降低.
- 带切除术可能需要手术后更少的青光眼药物.
- 电子健康记录数据和随机对照试验都为手术有效性提供了宝贵的见解.
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