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卡胡克双刀切割性阴茎切除术与同时发酵的结果和危险因素:加拿大多中心研究
Ali Salimi1, Oscar Kasner2, Steven Schendel3
1Department of Ophthalmology, McGill University, Montreal, QC.
概括
卡胡克双刀 (KDB) 切除性阴茎切割术与白内障手术相结合,有效降低眼内压力,并减少青光眼患者的药物需求. 这种联合程序在18个月的时间里证明了良好的安全性和有效性,视野稳定,视网膜神经纤维层稳定.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 这就是MIGS.
背景情况:
- 青光眼的管理通常需要降低眼内压力 (IOP).
- 白内障手术可以与绿内障手术相结合,以提高疗效.
- 使用卡胡克双刀片 (KDB) 切除性角膜切除法法化是一种最少侵入性玻璃眼手术 (MIGS) 的选择.
研究的目的:
- 为了评估结合白内障手术与卡胡克双刀片 (KDB) 切割性阴茎切割术的结果.
- 为了确定面临法科-KDB的眼睛手术失败的风险因素.
- 评估法科-KDB在各种青光眼亚型和严重程度的安全性和有效性.
主要方法:
- 一系列连续的108个眼睛的眼光和白内障经历了phaco-KDB.
- 手术后的最低随访时间为12个月.
- 通过IOP降低,药物使用和手术成功率来评估有效性. 通过视敏度,视野和不良事件来评估安全性.
主要成果:
- 观察到显著的内血压降低 (26%) 和降低抗葡萄糖瘤药物 (AGM) 使用 (29%).
- 对IOP<18,<15,<12毫米血压的合格成功率分别为87%,68%和46%.
- 良好的安全性概况,视力敏度改善和视野稳定;不良事件是暂时的.
结论:
- 科-KDB是一种安全有效的程序,用于减少青光眼患者的IOP和AGM负担.
- 联合手术没有显示在随访期间疾病进展的证据.
- 现实世界的数据支持使用phaco-KDB来管理复杂的玻璃眼病例.
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